An Overview of Surgical Treatment for Female Stress Urinary Incontinence

AbstractPurpose of ReviewWe aimed to present an overview of recent data on the proven surgical techniques for female stress urinary incontinence (SUI) including their efficacy, safety, and adverse events.Recent FindingsSurgical treatment of female SUI is the mainstay of urogynecological surgery, with two accepted gold standard techniques: Burch colposuspension and synthetic midurethral slings (MUS). Thorough understanding of the historical evolution of the surgical techniques before and after the introduction of integral theory is important. This theory enhances our comprehension for the continence mechanism of MUS, which are currently the level 1, grade A, recommended anti-incontinence procedures in all recent guidelines. However, in cases with specific contraindications, mesh surgery should be avoided. Burch colposuspension and autologous rectus fascia pubovaginal sling (RF PVS) procedures are the recommended surgical techniques with level 1 evidence in such cases and should be performed after a complete evaluation. Urethral bulking agents and artificial sphincters are the other options for severe and complicated cases. Because each surgical intervention for female SUI has inherent advantages and risks of complications, selection of the optimal surgical technique should be based on the risk-benefit ratio for every patient.SummaryComprehension of recent data derived from systematic meta-analyses and latest guidelines and knowledge of the safety, long-term efficacy, and possi...
Source: Current Obstetrics and Gynecology Reports - Category: OBGYN Source Type: research