Objective: The aim of the study is to show the changes in quality of life before and after surgery for genuine stress urinary incontinence by means of the subjective assessment. Design: Prospective study. Setting: The Department of Obstetric and Gynaecology, the 1st Medical Faculty of Charles University and General Hospital, Prague. Methods: 73 women were initially involved in the study. After one year of control we could only evaluate 51 of them (69.9%). Their average age was 56, BMI over 25 had 70% of them and 47% of them underwent a gynaecologic surgery in history. With these 51 women we managed to get complete questionnaire before the surgery on GSI and during the following checking after 3 months and 1 year. The most frequent type of surgery was colposuspension (76%). The quality of life in connection with the incontinence is measured by the help of a specifi c standardized questionnaire IQoL from Donald L. Patrick. In the same document we also evaluate the global effect of provided surgical procedures. Results: The average value of the IQoL questionnaire before operation was 50.2. It reached 80.2 done year after the surgery. The difference of 30 makes a notable improvement in the quality of life. The average value 78.8 three month after the surgery was similar. The check up three month and one year after the surgery showed 6% aggravation in the quality of life in comparison with the life before the surgery. The quality of life one year after the surgery improved in 82% women. Conclusion: One year after surgery the quality of life remains highly improved as evaluated by the patient.

        Key words: urinary incontinence, quality of life, urgency