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Urogynecology is a fi eld of medicine that includes pelvic fl oor pathologies such as urinary incontinence and pelvic organ prolapse. In the age of society aging, the incidence of this type of illness increases, classifying them as social diseases. Bothersome symptoms affect negatively the daily lives of patients as individuals and their functioning in families and in society. They severely reduce the quality of life, and can be the source of further disorders such as depression or sexual dysfunction. Because of the sense of shame and embarrassment associated with ailments, and limited knowledge -also in the medical world -many years pass till the beginning of the treatment. Most pelvic fl oor diseases can be treated effectively, and therapy should be interdisciplinary and personalized. The paper presents an overview of urogynecological diseases and possible methods of treatment.

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Background: To present a new method of urethral pressure examination, and to evaluate diagnostic capabilities of three-dimensional profilometry, as an alternative to classical urethral profile (UPP). Using five channel catheters and dedicated software, a global urethral pressure image is obtained. The method eliminates the main limitation of classical urethral profilometry, where the catheter orientation determines the pressure picture limited to only one point in the urethral circumference; we observed up to 50% differences in pressure measures depending on the point of urethral circumference where the measurement was taken. Methods: This is a preliminary study containing a method presentation and analysis of the use in varied clinical cases of either healthy patients or patients with lower urinary tract symptoms (LUTS). The article includes a technique and equipment description and a full evaluation of selected cases, including three-dimensional urethral pressure distribution graphics. Results and Conclusions: Three-dimensional profilometry compared to the classical technique is comparable regarding the time, cost, technical difficulty and patient discomfort. At the same time, we obtained much more data on the urethral pressure and its distribution. The results are easy to interpret due to the 3D movable graphics created automatically by the dedicated software.

Introduction: In urogynecology, both in subject literature and in clinical work, different systems for the assessment of pelvic organ prolapse are used. The lack of standardization causes diffi culties in treatment planning and in the evaluation of the effectiveness of applied surgical methods. The most commonly used scale is the POP-Q System which describes the severity of the prolapse without taking the type of defect into account. On the other hand, the clinical classifi cation by DeLancey defi nes the type of defect but does not take its severity into account. The latter classifi cation system also does not include cystocele with apical defect. Material and methods: The authors examined 96 patients presenting for advice of treatment due to symptomatic pelvic fl oor disease. A new, standardized method of urogycological examination was implemented. The evaluation included the type of defect and its severity at all three pelvic fl oor levels. Results: This method of examination allowed the identifi cation of both already known cystocele with middle and lateral defects, as well as not yet described cystocele with apical and mixed defects. Conclusions: The authors propose a new, standardized method of urogynecological examination which assumes the simultaneous application of the POP-Q System and the modifi ed classifi cation of lower pelvic organ prolapse by DeLancey which also describes the impact of level I defects (apical defects) on level II prolapse. It seems that this approach allows for more effective planning of urogynecological procedures, while reducing the rate of recurrence.