Stress urinary incontinence. Integral repair of pelvic floor defects

OBJECTIVES: To analyse the importance of complete pelvic floor defects correction at the time of female stress urinary incontinence treatment. METHODS/RESULTS: We review the basic principles in the treatment of genital prolapse. It is required to treat the anterior, central and posterior compartments. We describe the various anterior vaginal prolapse correction techniques and their basics depending on the association or not of urinary incontinence. The techniques for central compartment and posterior wall (rectocele) correction are also analysed. The recurrent vaginal dome prolapse and closure procedures are mentioned. CONCLUSIONS: We confront a multidisciplinary pathology in which urologists, gynaecologists, proctologists and pelvic floor physiotherapists can coexist and work together. Due to the variety of problems to be solved, it is necessary to standardise both the terminology and treatment, either surgical or not.