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February 1965

Suburethral Myoplasty: A New Operation for Female Urinary Incontinence

Author Affiliations

From the Department of Urology, Tufts University Medical School, Boston, and the Department of Urology, Mount Auburn Hospital, Cambridge, Mass. Associate Clinical Professor of Urology, Chief of the Department of Urology, Mount Auburn Hospital, Cambridge, Mass.

Arch Surg. 1965;90(2):196-201. doi:10.1001/archsurg.1965.01320080020005

THE NUMBER of surgical procedures designed for the treatment of female urinary incontinence is large and the approach manifold.1-6 Each has a note of ingenuity and constitutes a more or less satisfactory treatment, yet, in the words of J. P. Greenhill,7 "The appearance of new operations for incontinence, year after year, indicates that no one is entirely satisfactory." Most of these methods are suitable only for certain types of incontinence, their field of applicability being largely restricted.8 Our surgical armamentarium is still lacking in a method which is successfully applicable in various types of female incontinence.

The operation to be described seems to fulfill the above requirement and has given uniformly satisfactory results in 14 consecutive cases, some of which created problems of more than average complexity.

True urinary incontinence in the female may be due to either local anatomic impairment of the sphincter mechanism of the