"Burch Colposuspension in Premenopausal versus Postmenopausal Females with Urinary Stress incontinence

Abstract

Stress urinary incontinence is the leakage of urine at the time of an increase in abdominal pressure in the absence of a detnlsor contraction. A moderate degree of incontinence m ay interfere with daily activity and social function, whereas more severe incontinence may be disabling. U p to 40% of .,

older women and 25% of reproductive-age women are affected to some extent.

Urinary incontinence and other urogenital conditions are very common findings m older women. Direct association between the onset of incontinence o.nd menopause is suggested because a large percentage of women become incontinent after menopause. Nevertheless, the proportion of women with urinary incontinence who are treated surgically is less among elderly than younger populations. This may be because of poor physical health or, more likely, because of the greater likelihood of detrusor instability or low urethral closure pressure in this age group leading to poor results postoperativel y.

Surgery for genuine stress incontinence has undergone a continuous evolutionary process, with nearly 200 different operative procedures described in the literature, with cure rates