[A contribution to the diagnostic of stress-in-continence (author's transl)].

In 321 women with the symptoms of a stress-incontinence we tried to find out if specific methods can reform the diagnostic. By clinical tests an urinary incontinence could be shown only in 71.1%. The results from urethrocystography (169 patients) and simultane measuring of pressure in urethra and urinary bladder (222 patients) are compared with the results of the clinical examination of urine incontinence. According to the method used, the urethrocystography was corresponding with the positive clinical test between 75.9 and 93.5%, the measuring of the pressure in 87.4%. In negative clinical tests a stress-incontinence could be diagnosed or be excluded by combined radiological, tonometrical and endoscopical examinations. Urethrocystography and simultane measuring of pressure complement one another, they are no competitive methods. Our investigations further showed that the upper urogenital tract is cooperating in stress-incontinence. In the infusion-urogram 19.7% of the patients showed signs of chronic pyelonephritis, 15.3% had no urinary insufficience. 22.6% were suspect to have a chronic pyelonephritis. Finally the worth of diagnostic methods on therapeutic actions is discussed.