急迫尿失禁に対する経腹的腟吊上術

Abstract

A case of 56-year-old female with urinary stress incontinence cured by the abdominal suspension of the vagina is reported. It was considered that incomplete intraabdominal pressure transmittance to the urethra was the chief cause of urinary incontinence in this case, because high intravesical pressure during urinary incontinence was revealed by suprapubic cystometry. Abdominal s uspension of the vagina is a favourable surgical technique for the improvement of pressure transmittance to the urethra. Urinary stress incontinence of this case w as completely cured following the operation and elevation of intravesical pressure associated with cough or strain markedly reduced. It is felt that hydrodynamic examination of micturition can aid greatly in the choice of surgical procedure to a patient with stress incontinence. Literatures regarding the mechanism o f development of female stress incontinence were reviewed and discussed.