Guidelines and Practice Standardization for Female Stress Urinary Incontinence (SUI)
The estimated prevalence of urinary incontinence in the middle-aged and elderly population is estimated between 30–60 % and increases with age (16). Stress urinary incontinence (SUI) defined as the leakage of urine with an increase in intra-abdominal pressure (coughing, laughing, or sneezing) accounts for at least half of all urinary incontinence. Estimates of SUI are as high as 46 % of women. Surgery for SUI is extremely common in the U.S. alone with more than 210,000 women undergoing surgical correction. As our population continues to age and obesity remains rampant, we will continue to treat more women for SUI. This article reviews the guidelines and current recommendations for the evaluation and management of women with stress incontinence. Furthermore, we provide an algorithm for which surgical option would be appropriate.
KeywordsUrinary incontinence Urinary tract infection Cystoscopy
Retropubic midurethral sling
Transobturator midurethral sling
- Retropubic BNS
Retropubic bladder neck suspension (Burch)