Practical Aspects of Urinary Incontinence

1. Front Matter

   Pages I-XIII

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2. Introduction

   1. Introduction Problems in the management of urinary incontinence

      • E. A. Tanagho

      Pages 1-5

3. Investigations for urinary incontinence

   1. Front Matter

      Pages 7-7

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   2. Practical equipment for office urodynamics

      • A. E. J. L. Kramer

      Pages 8-17

   3. The role of radiology in urodynamics

      • H. R. Hadley, P. E. Zimmern, S. Raz

      Pages 18-32

   4. The value of the urethral pressure profile

      • J. M. van Geelen

      Pages 33-48

   5. The role of telemetry in the evaluation of incontinence

      • R. L. Vereecken, W. Sansen

      Pages 49-54

   6. New developments in urodynamic investigations

      • H. Madersbacher

      Pages 55-64

4. Genuine urinary stress incontinence

   1. Front Matter

      Pages 65-65

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   2. The female sphincter mechanisms and their relation to incontinence surgery

      • R. Turner-Warwick

      Pages 66-75

   3. The rational approach for the surgical treatment of urinary stress incontinence

      • B. L. R. A. Coolsaet, C. Blok, G. E. P. M. van Venrooij, Ph. E. V. A. van Kerrebroeck

      Pages 76-81

   4. A simplified technique of bladder neck suspension with tissue glue

      • W. de Sy, W. Oosterlinck, H. Minnaert

      Pages 82-85

   5. Transurethral teflon injection for urinary stress incontinence in women

      • J. J. Mattelaer, L. Baert, P. de Nollin

      Pages 86-93

   6. Burch colposuspension: method of choice?

      • S. L. Stanton

      Pages 94-99

   7. Turner-Warwick vagino-obturator shelf urethral-repositioning procedure

      • R. Turner-Warwick

      Pages 100-104

   8. Vaginal plasty operation for stress incontinence using fascia lata substitute

      • L. Montauban van Swijndregt, M. van Gijsen

      Pages 105-109

5. Recurrent urinary stress incontinence

   1. Front Matter

      Pages 111-111

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   2. Recurrent urinary stress incontinence: evaluation and therapy

      • L. M. Dairiki Shortliffe, T. A. Stamey

      Pages 112-117

   3. The treatment of recurrent urinary stress incontinence: a urological view

      • H. R. Hadley, P. E. Zimmern, S. Raz

      Pages 118-134

   4. The treatment of recurrent urinary stress incontinence: a gynaecological view

      • I. Beck

      Pages 135-138

Urinary incontinence is becoming an increasingly dominant condition in daily urological and gynaecological practice, although the total number of patients suffering from the different forms ofincontinence remains unclear. An estimated figure for The Netherlands, with a population of 14 500000, has been given as between 500000 and 600000 patients, showing that approximately 4 % of the total population suffer from this condition, the majority being female. The impact ofthis number is tremendous, not only regarding health care costs, but even more with regard to the psycho-social consequences. It is obvious that continuing efforts must be made to under­ stand more fully the different forms of urinary incontinence. An exact diagnosis is the first step necessary for adequate therapy. We all know how disastrous it can be to institute inappropriate treatment as a consequence of misunderstanding the proper aetiology in each individual case. What has happened in the past 15 years? During that time we have developed sophisticated machinery to diagnose in more detail the exact ori­ gin of each type of urinary incontinence, and on entering a urodynamic laboratory, one is struck by the complexity of measuring equipment. But how reliable are all these measurements and how can they be translated into an effective therapy? This still remains one ofthe major problems, although continuing progress has been made and will be made by the research work of many experts in the field of urinary incontinence.

• Surgery
• implant
• prostatectomy
• urinary incontinence
• urology

• Department of Urology, University Hospital St. Radboud, Nijmegen, The Netherlands

  F. M. J. Debruyne, Ph. E. V. A. Kerrebroeck

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