According to the mechanism of continence (Chap. 1), the aims of continence surgery are elevation of the bladder neck, support for the urethra and occasionally increased urethral resistance. Urethral sphincter incompetence (genuine stress incontinence) may be due to one or several factors. With over 100 varieties of operations to choose from, it is important to select the correct procedure according to the cause of urethral sphincter incompetence, taking into account clinical and urodynamic characteristics of the patient.
KeywordsFatigue Obesity Neuropathy Cough Enterocele
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