الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The term ”stress incontinence” was first employed by Eardley Ho1and, and recommendation for treatment were suggested as early as 1864. ”Urinary incontinence” is a condition in which invo1unloss of urine is a social or hygenic problem objectively demonstrable. ”Genuine stress incontinence” is urinary in¬continence that occurs as a result of an incompetant urethral closure mechanism during a rise in intra-abdominal pressure. The ”sign” of stress incontinence is the direct observation of urine loss from the external urethral meatus immediately an increase in intra-abdominal pressure. The ”condition” of stress incontinence is involuntary loss of urine occuring as a result of a pressure differential between the bladder and urethra in the absence of an involuntary detrusor contraction or urethral relaxation. It is a devastating condition that occurs princiap1ly in women and involves the urethrovesica1 junction and poste¬rior urethra. There have been many new insights made into the pathophysiology of urinary incontinence because of the availability of new instrumentation for urodynamic testing. However, it is important to understand that knowledge of instrumentation does not assure the clinician of the most effective surgical approach to the’ correction of anatomic stress urinary incontinence.