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Current Treatment Concepts for Stress Urinary Incontinence
Oliver Rautenberg1, Irena Zivanovic1, Jacek Kociszewski2
11 Department of Gynecology and Obstetrics, Cantonal Hospital Frauenfeld, 8501 Frauenfeld, Switzerland.
Praxis
|November 17, 2017
Summary
Stress urinary incontinence management begins with conservative options. Surgery, like tension-free suburethral slings, is reserved for persistent cases, offering high success rates.
Area of Science:
- Urology
- Gynecology
- Pelvic Health
Background:
- Stress urinary incontinence (SUI) significantly impacts quality of life.
- Conservative measures are the first line of treatment for SUI.
Purpose of the Study:
- To outline current treatment concepts for stress urinary incontinence.
- To detail surgical decision-making, operative techniques, and complication management.
Main Methods:
- Review of conservative management strategies for SUI.
- Evaluation of surgical interventions, including suburethral slings and bulking agents.
- Discussion of pre-, intra-, and post-operative assessments and pelvic-floor sonography.
Main Results:
- Tension-free suburethral sling insertions achieve high cure rates (80–90%).
- Minimally invasive bulking agent injections offer a promising alternative.
- Pelvic-floor sonography aids surgical planning and complication management.
Conclusions:
- Conservative treatments should be prioritized for SUI.
- Suburethral sling surgery is the gold standard for refractory SUI.
- A comprehensive approach including imaging and tailored surgical techniques optimizes outcomes.
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