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Treatment of Stress Urinary Incontinence

  • Chapter
Voiding Dysfunction

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Stress urinary incontinence (SUI) is defined as urinary leakage secondary to an increase in abdominal pressure (valsalva maneuvers, which place “stress” on the bladder and bladder support mechanisms) and is classified for treatment purposes by urologist into anatomic hypermobility of the bladder neck and proximal urethra, intrinsic sphincteric deficiency, or a combination of both. Anatomic hypermobility-related SUI (accounting for 85% of SUI) develops most commonly with aging, hormonal changes, traumatic or prolonged vaginal delivery, and pelvic surgery. Some patients with a well-supported bladder neck and urethra will still have SUI due to intrinsic sphinteric deficiency (15% of SUI). In these cases, intrinsic sphinteric deficiency may be owing to damage of the urethral closure mechanism after prior pelvic or anti-incontinence procedures, pelvic radiation, trauma, or neurogenic and medical disorders resulting in denervation injury.

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Authors
  1. Raymond Rackley MD
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Editors and Affiliations

  1. Section of Voiding Dysfunction and Female Urology, Department of Urology, Cleveland Clinic Foundation, Cleveland, OH, USA

    Rodney A. Appell MD

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© 2000 Humana Press Inc., Totowa, NJ

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Rackley, R. (2000). Treatment of Stress Urinary Incontinence. In: Appell, R.A. (eds) Voiding Dysfunction. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-198-5_8

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  • DOI: https://doi.org/10.1007/978-1-59259-198-5_8

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4684-9689-5

  • Online ISBN: 978-1-59259-198-5

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