[Comparative analysis of long term results of modified transcutaneous urethro-cysto-cervico-pexy with vaginal flap in the treatment of stress urinary incontinence in women].

The authors present a comparative analysis of long-term results of transcutaneous urethrocystocervicopexy (TU) with a vaginal graft according to O. B. Loran-D. Yu. Pushkar and its modification. The former method provided good 2-year results in correction of urinary stress incontinence (USI) in 84.8% of cases, satisfactory and unsatisfactory results were achieved in 6.5 and 8.7%, respectively. In modified TU the results were good, satisfactory and unsatisfactory in 89.7, 6.9 and 3.4%, respectively. This modified method of surgical USI treatment in women allows to create individual degree of tension of pubovaginal ligatures in each female, provides optimal anatomic correlations of the urinary bladder and urethra in TU, prevents obstruction and induced by it disorder in urine evacuation from the bladder in the postoperative period, reduces duration of catheterization of the bladder up to 1-2 days and hospital stay to 4.5 days, results in normal physiological urination.