The paper presents a rationale for and advantages of a modified Aldrich procedure in surgical treatment of patients with stress incontinence. This technique was supplemented by colpoperineoplasty in 24 patients. Long-term efficacy was assessed at 3 months to 4 years. No recurrence or complications were seen. Determinants of surgical success in these women were an appropriate patient selection with regard to urodynamic findings, meticulous performance at intraoperative stages and good rehabilitative care.

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