[The surgical treatment of urinary stress incontinence in women by using a tube flap from the vagina].

According to statistical estimates, incidence of urinary stress incontinence (USI) in females ranges from 3 to 20%. Operative correction of USI is feasible by 200 methods. The authors propose one more procedure which implies cutting out of tube graft from the anterior vaginal wall followed by the graft fixation in the bladder cervical region and placing prolen supporting ligatures into the suprapubic area with a special needle. In 1992-1995 such operation was performed in 55 USI females with positive effect in 48 (89%) patients. The technique provides enhanced mobilization of the bladder posterior wall and paraurethral space performing plastic reconstruction of cystocele. Moreover, creation of vaginal tube graft in the zone of urethrovesical segment contributes to reconstruction of normal anatomy. Thus, sling operations are method of choice in the treatment of patients with type 3 USI.