What procedure is recommended for the surgical treatment of stress incontinence?

The recommended procedure for the surgical treatment of stress incontinence is the Marshall-Marchetti procedure. This surgical technique is specifically designed to support the bladder neck and urethra, addressing the fundamental issue causing stress incontinence, which is the involuntary leakage of urine that occurs during activities that increase abdominal pressure, such as coughing, sneezing, or exercise.

The Marshall-Marchetti procedure involves placing sutures to elevate the bladder neck, thus improving its position to prevent involuntary leakage. This focus on the anatomical support structures helps restore urination control to the patient.

Other procedures listed may address different conditions or aspects of pelvic health, but they do not specifically target stress incontinence as effectively as the Marshall-Marchetti procedure does. For instance, a hysterectomy primarily involves the removal of the uterus, which may not directly impact the mechanisms involved in stress incontinence. The Wertheim procedure is typically used for treating cervical cancer and involves extensive removal of surrounding tissues and structures. Colpocleisis is a procedure more geared towards addressing pelvic organ prolapse rather than specifically treating stress incontinence. Therefore, the Marshall-Marchetti procedure stands out as the most appropriate recommendation for treating stress incontinence surgically.