, Volume 19, Issue 1, pp 5-33,
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Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice

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Introduction

Gamal Ghoniem

Background

Millions of women are afflicted with stress urinary incontinence (SUI) and pelvic organ prolapse (POP) around the globe, and the literature is abundant with different types of surgery to correct these problems. Only recently have outcome measures been applied to research in these areas. There are great variations in types of surgery performed, secondary to many factors such as surgeon’s training and socioeconomic factors. As the population of aging women increases worldwide, it is inevitable that these women’s disorders will become more prevalent. This will pose a major challenge to the health care systems.

Objectives

The field exploring and treating pelvic floor disorders is evolving rapidly, and guidelines should be developed and updated every few years so that the most recent evidence-based medicine is incorporated.

Based on our meeting at the IUGA/ICS Joint Meeting in Paris (August 2004), the IUGA Research and Development Committee (RDC) developed th