Current Bladder Dysfunction Reports

, Volume 8, Issue 1, pp 38–44

Guidelines and Practice Standardization for Female Stress Urinary Incontinence (SUI)

Female Stress Incontinence and Prolapse (R Dmochowski, Section Editor)

DOI: 10.1007/s11884-012-0169-0

Cite this article as:
Lutz, A.T. & Winters, J.C. Curr Bladder Dysfunct Rep (2013) 8: 38. doi:10.1007/s11884-012-0169-0

Abstract

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.

Keywords

Urinary incontinence Urinary tract infection Cystoscopy 

Abbreviations

RPMUS

Retropubic midurethral sling

TOT

Transobturator midurethral sling

PVS

Pubovaginal sling

Retropubic BNS

Retropubic bladder neck suspension (Burch)

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Louisiana State University Health Sciences CenterNew OrleansUSA

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