[Comparative results of different types of urethropexy in the treatment of stress urinary incontinence in women]

Abstract

We conducted a clinical and urodynamic study in 70 patients who had undergone different urethropexy procedures for stress urinary incontinence. Urethropexy had achieved positive results in 87% of the patients. Incontinence persisted in 21% of the patients. Urethropexy significantly reduced the urge-incontinence and frequency associated with this disorder. Anterior urethropexy did not increase the incidence of poor results in the present series since no patient had intrinsic urethral involvement. The suprapubic and the combined techniques achieved the following cure rates: Marshall-Marchetti-Krantz (92%), Burch (100%), Ramírez simplified (80%), Raz (60%). The cure rate for the Kelly vaginal technique was found to be lower (57%).