Surgical preparation: are patients “ready” for stress urinary incontinence surgery?

Surgery versus physiotherapy for stress urinary incontinence.

BACKGROUND Physiotherapy involving pelvic-floor muscle training is advocated as first-line treatment for stress urinary incontinence; midurethral-sling surgery is generally recommended when physiotherapy is unsuccessful. Data are lacking from randomized trials comparing these two options as initial therapy. METHODS We performed a multicenter, randomized trial to compare physiotherapy and midu...

Surgical Management of Urinary Stress Incontinence

Urinary incontinence (UI) is defined by the International Continence Society as an “involuntary loss of urine which is objectively a demonstrable, social, and hygienic problem. Stress incontinence which constitutes nearly the half of all urinary incontinence cases, mainly depends on surgical treatment. There is not an optimal surgical procedure for treatement stress urinary incontinance. Treatm...

Surgical management of stress urinary incontinence.

INTRODUCTION This review evaluates the most recent knowledge regarding surgical management of stress urinary incontinence. MATERIALS AND METHODS A comprehensive MEDLINE search was performed, limited to those articles published from 1995 to 2005. In total, 470 articles were reviewed-the most relevant of which were considered, and additional ones were selected by reviewing these studies' biblio...

Minimally invasive surgery for stress urinary incontinence - mesh complications.

Currently, the most commonly performed surgeries for stress urinary incontinence (SUI) are mesh midurethral slings (MUS). They are minimally invasive outpatient procedures, and they are as effective as traditional suburethral slings, open retropubic colposuspension (Burch, Marshall-Marchetti), and laparoscopic retropubic colposuspension. They have a short operative time and fewer postoperative ...

Surgery for Urinary Incontinence inWomen