Committee opinion: evaluation of uncomplicated stress urinary incontinence in women before surgical treatment.
نویسنده
چکیده
Stress urinary incontinence (SUI) is a condition of involuntary loss of urine on effort, physical exertion, sneezing, or coughing that is often bothersome to the patient and frequently affects quality of life. When women are evaluated for SUI, counseling about treatment should begin with conservative options. The minimum evaluation before primary midurethral sling surgery in women with symptoms of SUI includes the following 6 steps: (1) history, (2) urinalysis, (3) physical examination, (4) demonstration of stress incontinence, (5) assessment of urethral mobility, and (6) measurement of postvoid residual urine volume. For women with uncomplicated SUI in whom conservative treatment has failed and who desire midurethral sling surgery, evidence indicates that the performance of preoperative multichannel urodynamic testing versus a basic evaluation does not affect treatment outcomes. However, women who have complicated SUI may benefit from multichannel urodynamic testing and other diagnostic tests before initiation of treatment, especially surgery. Clinical judgment should guide the health care provider's decision to perform preoperative multichannel urodynamic testing or to refer to a specialist with appropriate training and experience in female pelvic medicine and reconstructive surgery.
منابع مشابه
Effects of pelvic floor muscle exercises on quality of life outcomes in women with stress urinary incontinence
Absract Background: Stress urinary incontinence is a common problem in the middleaged women and can affect their quality of life. This study evaluated the effects of pelvic floor muscle exercise on quality of life outcomes in women with stress urinary incontinence . Methods: After baseline evaluation, 50 women were assigned for this clinical trial . Participants were instructed to do pel...
متن کاملThe effect of urodynamic testing on clinical diagnosis, treatment plan and outcomes in women undergoing stress urinary incontinence surgery.
PURPOSE We evaluated the influence of preoperative urodynamic studies on diagnoses, global treatment plans and outcomes in women treated with surgery for uncomplicated stress predominant urinary incontinence. MATERIALS AND METHODS We performed a secondary analysis from a multicenter, randomized trial of the value of preoperative urodynamic studies. Physicians provided diagnoses before and aft...
متن کاملTension-free vaginal tape (TVT) procedure.
OBJECTIVE To provide an introduction to the tension-free vaginal tape (TVT) procedure, placing it in the context of minimally invasive surgeries for the treatment of urinary stress incontinence in women, and to provide guidance to surgeons counselling women on the merits of this surgical choice. OPTIONS This discussion is limited to surgical treatment of urinary stress incontinence in women. ...
متن کاملRe: a randomized trial of urodynamic testing before stress-incontinence surgery.
BACKGROUND Urodynamic studies are commonly performed in women before surgery for stress urinary incontinence, but there is no good evidence that they improve outcomes. METHODS We performed a multicenter, randomized, noninferiority trial involving women with uncomplicated, demonstrable stress urinary incontinence to compare outcomes after preoperative office evaluation and urodynamic tests or ...
متن کاملتاثیر استفاده از مخروط های مهبلی بر بی اختیاری استرسی ادرار
Background: Stress incontinence is the most common types of urinary incontinence in women and the second factor for permanent incontinence in old women, which effects on their health and quality of life. Basic treatment for this problem is pelvic floor exercises. Usage of vaginal cones is an effective intervention for prevention and treatment of urinary stress incontinence. Objective: To determ...
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عنوان ژورنال:
- Female pelvic medicine & reconstructive surgery
دوره 20 5 شماره
صفحات -
تاریخ انتشار 2014