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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.

Highlights Uterus preserving therapy is an optimal therapy for young patients. Using of a small mesh can reduce the use of large meshes in pelvic floor surgery. Pregnancy and delivery after hysterosacropexy does not affect the effect of the operation. Quality of life is improved.

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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.