Cure of urge incontinence by the combined intravaginal sling and tuck operation.

Seventeen women, 14 with urge incontinence, and 3 with debilitating sensory urgency symptoms were operated on with a combined Intravaginal Sling operation and Tuck procedure. All but three were cured of their preoperative symptoms. The reason for the high cure rate achieved may be explained by restoration of anatomical support below the bladder neck. This prevents the stretch receptors from firing off at rest. Importantly, Intravaginal Sling operation and Tuck procedure do not elevate the bladder neck, so that these stretch/pain receptors are not stimulated by the elevation process. The results accord with the Integral Theory of Female Urinary Incontinence, which states that urge as well as stress symptoms may derive from the same anatomical defect, a loose vagina.