Urinary Incontinence

FEMALE STRESS URINARY INCONTINENCE (SUI)

The Egyptian Papyruses from the 2nd Century B.C disclosed the fact that SUI was identified as a medical entity, and presented conservative treatments, such as pessaries for SUI. SUI in women is known for centuries, as the SUI etiology that still remained undetermined until Prof. Dr. Ostrzenski conducted the scientific-clinical study (between 2011 and 2016). Recently studies have established that the urethral stabilizing mechanism is the cause of SUI. Urinary incontinence affects women up to 45%, and among all the types of incontinence 78% of women suffer from SUI. The absence of SUI etiology led to creation of over two hundred new surgical interventions, none of which provided the satisfactory cure rate. Currently, suburethral sling interventions are the most common recommended surgical therapy for SUI. This procedure harbors high rates for potential reoperations (12%-17%), and an unpredictable cure rate of 30%-100%. Retropubic Burch colposuspension, are the tension-free vaginal tapes or transobturator tapes that can also cause severe complications, including death.

Prof. Dr. Ostrzenski developed the new urethral stabilization surgical procedure to treat the defective urethral stabilizing mechanism (etiologic factor), and to correct female stress incontinence without using slings, surgical meshes, or nonabsorbable sutures. This operation is performed under local anesthesia, which eliminates a patient exposure to the risk of general anesthesia. Three-year observation determined that the Ostrzenski’s urethral stabilization procedure yielded 92% and 88% subjective (women’s reports), and objective (doctor’s evaluations) cure rate respectively without severe complications.