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Related Experiment Videos

Practical approach to stress urinary incontinence.

A R Kendall, B S Stein

    Geriatrics
    |May 1, 1983
    PubMed
    Summary

    Stress urinary incontinence (SUI) is more common in women who have had multiple births, particularly after menopause. Surgical intervention is not recommended for patients experiencing purely irritative urinary symptoms without significant SUI.

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    Area of Science:

    • Urology
    • Gynecology
    • Pelvic Health

    Background:

    • Stress urinary incontinence (SUI) is prevalent in multiparous women.
    • Postmenopausal hormonal changes can affect pelvic supportive tissues.
    • Weakened support of the vesical neck and urethra can lead to sphincter incompetence.

    Purpose of the Study:

    • To highlight the increased incidence of SUI in specific patient populations.
    • To explain the pathophysiology of SUI related to tissue support and hormonal status.
    • To define patient profiles unlikely to benefit from surgical treatment for SUI.

    Main Methods:

    • Review of clinical presentation and contributing factors for SUI.
    • Correlation of menopausal status and parity with SUI development.
    • Differential diagnosis of SUI versus irritative voiding symptoms.

    Main Results:

    • SUI is more frequent in multiparous, postmenopausal women.
    • Hormonal withdrawal impacts pelvic tissue support, contributing to SUI.
    • Sphincter incompetence is linked to loss of vesical neck and urethral support.

    Conclusions:

    • Management strategies for SUI should consider parity and menopausal status.
    • Surgical intervention for SUI is indicated when stress symptoms are significant.
    • Patients with purely irritative symptoms and no significant SUI should not undergo surgery.

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