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Surgery for urinary incontinence in women: Report from the 6th international consultation on incontinence. | LitMetric

AI Article Synopsis

  • * Surgical options for SUI include colposuspension, slings, and periurethral bulking, each with different success rates and potential adverse effects.
  • * For urgency urinary incontinence (UUI), initial treatments focus on behavior changes and medication, with surgery as a last resort; various procedures like Botox injections and neurostimulation are available for more severe cases, each carrying their own risks and outcomes.

Article Abstract

Urinary incontinence is a prevalent condition worldwide and causes a tremendous impact on a woman's quality of life. While conservative and non-surgical therapies are options for treatment, surgery for stress urinary incontinence (SUI) is common. Options include colposuspension, slings (pubovaginal and midurethral), and periurethral bulking. While evidence supports each of these options in the treatment of SUI, each is associated with various rates of success and unique adverse event profiles. Urgency urinary incontinence (UUI) is initially treated with behavioral modification and pharmacologic means, with surgery reserved for those with refractory symptoms or significant complications from medication use. At present, intravesical onabotulinumtoxinA injections, percutaneous tibial nerve stimulation, and sacral neurostimulation are all viable options for refractory UUI/overactive bladder. As with surgical interventions for SUI, each of these is, likewise, associated with unique outcomes and adverse event profiles. Herein, we summarize the findings and conclusions from the 6th International Consultation on Incontinence (ICI) regarding surgical treatment of urinary incontinence in women.

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Source
http://dx.doi.org/10.1002/nau.23895DOI Listing

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