Bead Chain Urethrocystography in the Investigation of Postoperative Urinary Stress Incontinence

The results of bead chain urethrocystography on 74 patients with postoperative urinary stress incontinence (USI) are reported. USI occurred after vaginal plastic operation, vaginal hysterectomy or suprapubic surgery performed for repair of uterovaginal prolapse and/or USI. The findings in the bead chain urethrocystographic examination varied depending on the type of operation. Distribution by type (Green) based on loss of the posterior urethrovesical (PUV) angle and the angle of the urethral inclination is not suitable for every case of postoperative USI, for 20% of the cases displayed a normal PUV angle during straining. The so‐called base plate (Hutch) on the floor of the bladder did not remain flat during straining in any of the patients examined. In the planning of treatment for a patient with postoperative USI attention should be paid not only to the urethral inclination and PUV angle but also to the anterior urethrovesical (AUV) angle and the position of the UV junction at rest and during straining.