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Device Therapy for Stress Incontinence

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Pelvic Floor Dysfunction

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Conclusion

Although at first thought, vaginal and urethral devices may seem to be ideal means to manage mild to moderate stress incontinence, in practice, their acceptance has been low. Nonsurgical therapy requires motivation, patience, and long-term commitment. In addition, the vaginal and urethral devices cure far less women than surgery. However, they may increase the quality of life for patients who are medically unfit for surgery or who do not desire an operation. The “nuisance factor” associated with device care is the major barrier to greater acceptance. The devices may be ideal for women with only exercise-induced incontinence or for those who need a temporary treatment until they are able to undergo surgery. Surgery and pelvic floor rehabilitation remain the most common and popular treatments for stress urinary incontinence.

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Author information

Authors and Affiliations

  1. Florida Center for Urogynecology, Hollywood, FL, USA

    Jennifer T. Pollak MD

  2. Section of Urogynecology and Reconstructive Pelvic Surgery, Department of Gynecology, Cleveland Clinic Florida, Weston, FL, USA

    G. Willy Davila MD

Authors
  1. Jennifer T. Pollak MD
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  2. G. Willy Davila MD
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Editor information

Editors and Affiliations

  1. Department of Gynecology, Cleveland Clinic Florida, Weston, FL, USA

    G. Willy Davila MD (Chairman, Head and Affiliate Associate Professor) (Chairman, Head and Affiliate Associate Professor)

  2. Section of Urogynecology and Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston, FL, USA

    G. Willy Davila MD (Chairman, Head and Affiliate Associate Professor) (Chairman, Head and Affiliate Associate Professor)

  3. University of South Florida, USA

    G. Willy Davila MD (Chairman, Head and Affiliate Associate Professor) (Chairman, Head and Affiliate Associate Professor)

  4. Section of Voiding Dysfunction, Female Urology and Reconstruction, NOVA Southeastern University, Ohio State University and University of South Florida, Cleveland Clinic Florida, Weston, FL, USA

    Gamal M. Ghoniem MD, FACS (Head and Clinical Professor of Surgery/Urology) (Head and Clinical Professor of Surgery/Urology)

  5. NOVA Southeastern University, Ohio State University and University of South Florida, Cleveland Clinic Florida, Weston, FL, USA

    Gamal M. Ghoniem MD, FACS (Head and Clinical Professor of Surgery/Urology) (Head and Clinical Professor of Surgery/Urology)

  6. 21st Century Oncology Chair in Colorectal Surgery, Cleveland Clinic Hospital, USA

    Steven D. Wexner MD, FACS, FRCS, FRCSED (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor) (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor)

  7. Department of Colorectal Surgery, Cleveland Clinic Florida, USA

    Steven D. Wexner MD, FACS, FRCS, FRCSED (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor) (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor)

  8. Ohio State University Health Sciences Center at Cleveland Clinic Foundation, USA

    Steven D. Wexner MD, FACS, FRCS, FRCSED (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor) (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor)

  9. University of South Florida College of Medicine, USA

    Steven D. Wexner MD, FACS, FRCS, FRCSED (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor) (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor)

  10. Charles E. Schmidt College at Florida Atlantic University, USA

    Steven D. Wexner MD, FACS, FRCS, FRCSED (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor) (Chief of Staff, Chairman, Professor of Surgery, Clinical Professor of Surgery and Research Professor)

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© 2006 Springer-Verlag London Limited

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Pollak, J.T., Davila, G.W. (2006). Device Therapy for Stress Incontinence. In: Davila, G.W., Ghoniem, G.M., Wexner, S.D. (eds) Pelvic Floor Dysfunction. Springer, London. https://doi.org/10.1007/1-84628-010-9_16

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  • DOI: https://doi.org/10.1007/1-84628-010-9_16

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-730-8

  • Online ISBN: 978-1-84628-010-8

  • eBook Packages: MedicineMedicine (R0)

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