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Minimal Access Surgery in the Management of Genuine Stress Incontinence

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Female Pelvic Medicine and Reconstructive Pelvic Surgery

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Abstract

Genuine stress incontinence (GSI) is a common condition in women. Prevalence studies underestimate the magnitude of the problem, but typically the rates are said to be between 10% and 20% of women, regardless of age [1]. The treatment options for GSI are discussed in detail elsewhere in this volume, but can basically be divided into conservative therapies (Kegel exercises, hormone replacement, biofeedback and α-agonists), periurethral injections and surgical treatments. Surgical procedures, reported since 1906, were either vaginal repairs as advocated by Kelly and Kennedy or urethral sling procedures, as pioneered by Goebel [2]. In the 1940s, Marshall and Marchetti [3] developed a retropubic approach that was later modified by Burch in 1961 [4]. More recently, an alternative theory on pelvic relaxation [5] has led to the surgical repair of defects in the pubo-cervical fascia (paravaginal repair) in the treatment of vaginal prolapse and GSI.

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Author information

Authors and Affiliations

  1. Royal Berkshire Hospital, Reading, Berkshire, UK

    Mr Kevin M. Smith (Specialist Registrar)

  2. Women’s College Hospital, Burton Hall, Toronto, Ontario, Canada

    Mr Rose C. Kung

Authors
  1. Mr Kevin M. Smith
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  2. Mr Rose C. Kung
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Editor information

Editors and Affiliations

  1. Urogynecology Unit, Mount Sinai Hospital, Toronto, Ontario, Canada

    H. P. Drutz BA, MD, FRC(C), FACOG, FSOGC

  2. Division of Urology, University of Toronto, Toronto, Ontario, Canada

    S. Herschorn BSc, MDCM, FRCSC

  3. Division of Gastroenterology, Department of Medicine, University of Toronto, Toronto Hospital, Toronto, Ontario, Canada

    N. E. Diamant MD, FRCP(C)

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© 2003 Springer-Verlag London Limited

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Smith, K.M., Kung, R.C. (2003). Minimal Access Surgery in the Management of Genuine Stress Incontinence. In: Drutz, H.P., Herschorn, S., Diamant, N.E. (eds) Female Pelvic Medicine and Reconstructive Pelvic Surgery. Springer, London. https://doi.org/10.1007/1-84628-238-1_35

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  • DOI: https://doi.org/10.1007/1-84628-238-1_35

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-237-9

  • Online ISBN: 978-1-84628-238-6

  • eBook Packages: Springer Book Archive

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