**6. Conclusions**

These observations from our daily clinical practice point to the essential role of cooperation between urologists and a broad gamut of other specialists, especially uro-gynecologists, clinical psychologists, physiotherapists, and psychiatrists, in relation to patients in whom, despite several months of treatment, there are frequent relapses. They also make us aware of the need for physicians to expand their knowledge in the area of psychological factors associated with lower urinary tract symptoms and the holistic approach to treatment. And finally, they can also be a contribution to the ongoing discussion on the methodology of performing urodynamic tests (using profilometry), the need to apply surface electormyography of the pelvic floor muscles, acknowledged by numerous authors to be very useful (Garstka-Namysł, 2006, 2009; Garstka-Namysł et al., 2007, 2008), and the need to create multi-disciplinary teams and highly specialized centers for the diagnosis and therapy of urine retention disorders.

The lack of relaxation in the constantly contracted muscles of the pelvic floor can significantly impede a correct urodynamic diagnosis and cause a misdiagnosis regarding the activity of the urethra and the pelvic floor muscles.

Preparation of the patient for therapy by a multidisciplinary team, including a diagnostician, a psychologist, a psychiatrist and physiotherapist, specialized in the treatment of patients with urinary dysfunctions, can significantly increase the effectiveness of surgical treatment and limit relapses. A properly prepared questionnaire to evaluate quality of life, expanded with information about functional disorders in childhood or traumatic experiences in the urogenital area, can facilitate a correct diagnosis.

The visualization of the activity of the pelvic floor muscles in standing and prone position, using a transperineal ultrasonogram and surface electromyography, is of great help in the education and therapy of patients in order to improve urination.

Developing a plan of preventive and therapeutic activities, using education and rehabilitation, can prevent the development of full-symptom urinary incontinence and other negative symptoms of dysfunction in the muscles and nerves of the pelvic floor, leading to a deterioration of quality of life.

In our opinion, a multi-disciplinary approach to the therapy of urine retention dysfunctions and additional basic tests can contribute to a better understanding of the specific nature of different types of urinary incontinence in young women, reduce the number of diagnostic errors, hasten the implementation of correct treatment, reduce the recurrence of symptoms, provide a better understanding of the reasons for treatment failure, and increase the number of successfully treated women.
