Pubococcygeal repair ad modum Ingelman-Sundberg. A retrospective investigation with 10-20 years time of observation.

Fifty-one women operated on for stress incontinence with pubococcygeal repair ad modum Ingelman-Sundberg between 1955 and 1965 were investigated urogynecologically. The time of observation was accordingly at least 10 years in every case. An evaluation was made of this operation method, the distribution of recurrences during the postoperative period and possible side effects. Eight women had symptoms of at least degree I stress incontinence and thirteen showed signs of incontinence at the examination. Only four had both symptoms and signs of incontitinence. The cure rate from a symptomatic point of view was 84% and from the technical aspect 75%. Most fo the severe recurrences occurred in the first postoperative year. Thereafter the recurrences were evenly distributed. The only side effect in the long run was a tendency to rectocele.