Guidelines and Practice Standardization for Female Stress Urinary Incontinence (SUI)
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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.
- •• Abrams P, Cardozo L, Khoury S, et al. Incontinence. 4th International Consultation on Incontinence. Paris: Health Publication; 2009. p. 5. This reference gives a nice overview of the pathophysiology, workup, and pharmacological/surgical recommendations for stress urinary incontinence.
- Botlero R, Urquhart DM, Davis SR, et al. Prevalence and incidence of urinary incontinence in women: review of the literature and investigation of methodological issues. Int J Urol. 2008;15(3):230–4. CrossRef
- Wu JM, Kawasaki A, Hundley AF, et al. Predicting the number of women who will undergo incontinence and prolapse surgery, 2010 to 2050. Am J Obstet Gynecol. 2011;205(3):230.e1–5. CrossRef
- Wein AJ, Kavoussi LR, Novick AC, et al. Campbell-Walsh Urology. 10th ed. Philadelphia: Saunders; 2012.
- •• Dmochowski R, Blaivas J, Gormley E, et al. Update on AUA guideline on surgical management of female SUI. J Urol. 2010;183:1906–14. This reference outlines the newest AUA recommendations for SUI. CrossRef
- Bettez M, Mai Tu L, Carlson K, et al. 2012 Update: guidelines for adult urinary incontinence collaborative consensus document for the Canadian Urological Association. [http://www.cua.org/userfiles/files/guidelines/inc_2005_en.pdf].
- •• Thuroff J, Abrams P, Andersson K-E, et al. EAU guidelines on urinary incontinence. Eur Urol. 2011;59:387–400. This reference outlines the newest EAU recommendations for SUI. CrossRef
- Schroder A, Abrams P, Andersson K-E, et al. EAU guidelines on urinary incontinence. European Association of Urology Web site. [http://www.uroweb.org/guidelines/online-guidelines/].
- Urinary incontinence: the management of urinary incontinence in women. NICE Clinical guidelines 40. London: National Institute for Health and Clinical Excellence, Oct 2006:1-36. [www.nice.org.uk/CG40].
- •• Nager C, Brubaker L, Litman H, et al. A randomized trial of urodynamic testing before stress-incontinence surgery? N Engl J Med. 2012;366:1987–97. This reference demonstrated that for women with uncomplicated SUI outcomes were equivalent whether they had history and exam or office evaluation with preoperative urodynamics. CrossRef
- Auwad W, Steggles P, Bombieri L, et al. Moderate weight loss in obese women with urinary incontinence: a prospective longitudinal study. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(9):1251–9. CrossRef
- FDA Public Health Notification: serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence [www.fda.gove/medicaldevices/safety/publichealthnotifications/ucm061976.htm].
- FDA safety communcation: UPDATE on serious complications as associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse. [www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm26235.htm].
- AUA position-statements. Board of Directors, November 2011: AUA website. [http://www.auanet.org/content/aua-policies/position-statements/stress-urinary-incontinence.cfm].
- Starkman JS, Scarpero H, Dmochowski RR. Emerging periurethral bulking agents for female stress urinary incontinence: is new necessarily better? Curr Urol Rep. 2006;7(5):405–13. CrossRef
- Ghoniem G, Corcos J, Comiter C, et al. Cross-linked polydimethylsiloxane injection for female stress urinary incontinence: results of a multicenter, randomized, controlled, single-blind study. J Urol. 2009;181:204. CrossRef
- Gamal G, Jacques C, Craig C, Lenaine Westney O, Sender H. Durability of urethral bulking agent injection for female stress. Urinary incontinence: 2-year multicenter study results. J Urol. 2010;183(4):1444–9. CrossRef
- Brubaker L, Cundiff GW, Fine P, et al. Abdominal sacrocolpopexy with Burchcolposuspension to reduce urinary stress incontinence. N Engl J Med. 2006;354(15):1557–66. CrossRef
- Albo ME, Richter HE, Brubaker L, et al. Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med. 2007;356(21):2143–55. CrossRef
- Novara G, Artibani W, Barber MD, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol. 2010;58(2):218–38. CrossRef
- Ogah J, Cody JD, Rogerson L. Cochrane database of systematic reviews 2009, Issue 4 Art. No.: CD006375. doi:10.1002/14651858.CD006375.pub2.
- Fritel X, et al. Predictive value of urethral mobility before suburethral tape procedure for urinary stress incontinence in women. J Urol. 2002;168(6):2472–5. CrossRef
- Schierlitz L, et al. Effectiveness of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency: a randomized controlled trial. Obstet Gynecol. 2008;11:1253–61. CrossRef
- Haliloglu, et al. The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up. Int Urogynecol J. 2009;21:173–8. CrossRef
- Richter HE, Albo ME, Zyczynski HM, et al. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med. 2010;362(22):2066–76. CrossRef
- Pickens RB, Klein FA, Mobley 3rd JD, White WM. Single incision mid-urethral sling for treatment of female stress urinary incontinence. Urology. 2011;77(2):321–4. CrossRef
- Kennelly MJ, Moore R, Nguyen JN, et al. Prospective evaluation of a single incision sling for stress urinary incontinence. J Urol. 2010;184(2):604–9. CrossRef
- Cornu J-N, Sèbe P, Peyrat L. Midterm prospective evaluation of TVT-Secur reveals high failure rate. Eur Urol. 2010;58:157–61. CrossRef
- Mohamed A-F, Ford JA, Chou Phay L, Priya M. Single-incions mini-slings versus standard midurethral slings in surgical management of female stress incontinence: a meta analysis of effectiveness and complications. Eur Urol. 2011;60(3):468–80. CrossRef
- Guidelines and Practice Standardization for Female Stress Urinary Incontinence (SUI)
Current Bladder Dysfunction Reports
Volume 8, Issue 1 , pp 38-44
- Cover Date
- Print ISSN
- Online ISSN
- Current Science Inc.
- Additional Links
- Urinary incontinence
- Urinary tract infection