Operative treatment of women with prolapse and genuine primary stress incontinence.

48 women with genuine primary stress urinary incontinence and prolapse were studied and treated over a 6-year period. The surgical procedures undertaken included urethroplasty with lyodura sling and prolapse plasty (45 patients), urethroplasty with lyodura sling and vaginal hysterectomy (3 patients). A follow-up from 2 years to 6 years showed in 2 patients a complete failure. The complications were: acute urinary tract infections (5 patients), incisional hernia (1 patient), prolonged urinary retention (3 patients). The results suggest that this technique is successful in correcting stress urinary incontinence and prolapse in women.