Stress urinary incontinence

Obstetrics and Gynecology
Ingrid E Nygaard, Michael Heit

Abstract

Stress urinary incontinence, the complaint of involuntary leakage during effort or exertion, occurs at least weekly in one third of adult women. The basic evaluation of women with stress urinary incontinence includes a history, physical examination, cough stress test, voiding diary, postvoid residual urine volume, and urinalysis. Formal urodynamics testing may help guide clinical care, but whether urodynamics improves or predicts the outcome of incontinence treatment is not yet clear. The distinction between urodynamic stress incontinence associated with hypermobility and urodynamic stress incontinence associated with intrinsic sphincter deficiency should be viewed as a continuum, rather than a dichotomy, of urethral function. Initial treatment should include behavioral changes and pelvic floor muscle training. Estrogen is not indicated to treat stress urinary incontinence. Bladder training, vaginal devices, and urethral inserts also may reduce stress incontinence. Bulking agents reduce leakage, but effectiveness generally decreases after 1-2 years. Surgical procedures are more likely to cure stress urinary incontinence than nonsurgical procedures but are associated with more adverse events. Based on available evidence at this ...Continue Reading

References

Oct 1, 1990·American Journal of Obstetrics and Gynecology·R LangerE Caspi
Dec 1, 1990·The British Journal of Surgery·S J SnooksM M Henry
Apr 1, 1969·The Journal of Urology·L H Wolin
Sep 8, 1984·British Medical Journal·J SleepI Chalmers
Oct 1, 1996·British Journal of Urology·N A Black, S H Downs
Oct 6, 1997·British Journal of Obstetrics and Gynaecology·U M PeschersB Schuessler
Jan 8, 1998·BMJ : British Medical Journal·N BlackP Abel
Oct 26, 1999·Neurourology and Urodynamics·P ChiarelliP McElduff
Dec 7, 2000·Journal of Clinical Epidemiology·Y S HannestadUNKNOWN Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag
Jan 12, 2001·Obstetrics and Gynecology·D GradyUNKNOWN HERS Research Group
Jun 26, 2001·Trends in Pharmacological Sciences·D L Hay, D M Smith
Aug 3, 2001·American Journal of Obstetrics and Gynecology·C A Graham, V T Mallett
Aug 17, 2001·Obstetrics and Gynecology·P J CulliganP K Sand
Sep 25, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·T M SoergelM Heit
Jan 5, 2002·Peptides·D L Hay, D M Smith
Jan 10, 2002·Biochemical and Biophysical Research Communications·So NishikawaMitsuo Ikebe
Feb 22, 2002·Neurourology and Urodynamics·Paul AbramsUNKNOWN Standardisation Sub-committee of the International Continence Society
Apr 3, 2002·Nature Medicine·Karen Birmingham
Apr 10, 2002·JAMA : the Journal of the American Medical Association·Mary E HannahUNKNOWN Term Breech Trial 3-Month Follow-up Collaborative Group
Apr 12, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Nina Kuuva, Carl Gustaf Nilsson
May 3, 2002·Clinical and Laboratory Haematology·M A Smith, J G Smith
Jul 13, 2002·BMJ : British Medical Journal·Karen WardUNKNOWN United Kingdom and Ireland Tension-free Vaginal Tape Trial Group
Jul 13, 2002·American Journal of Obstetrics and Gynecology·Peggy A NortonUNKNOWN Duloxetine Urinary Incontinence Study Group
Jul 26, 2002·International Urogynecology Journal and Pelvic Floor Dysfunction·Michael Heit
Dec 7, 2002·Obstetrics and Gynecology·Carolyn M SampselleIrina Bondarenko
Jan 9, 2003·Obstetrics and Gynecology·John O L DeLanceyShereen Binno
Jan 9, 2003·Obstetrics and Gynecology·Ingrid NygaardRobert Wallace
Mar 12, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Yngvild S HannestadSteinar Hunskaar
Aug 9, 2003·Obstetrics and Gynecology·H P Dietz, M J Bennett
Oct 11, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Fabio ParazziniUNKNOWN VIVA Study Group
Feb 26, 2004·American Journal of Obstetrics and Gynecology·Karen L WardUNKNOWN UK and Ireland TVT Trial Group
Mar 17, 2004·Clinical Obstetrics and Gynecology·Ingrid E Nygaard, Karl J Kreder

❮ Previous
Next ❯

Citations

Jan 1, 1977·Journal of Surgical Oncology·V B Feleppa, H M Lemon
Aug 30, 2007·Aging Clinical and Experimental Research·Athanasios G PapatsorisCharalambos Deliveliotis
Jan 9, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Heinz R Augsburger, Marianne Oswald
Jun 6, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Vatche A MinassianAnnemarie G Hirsch
Oct 7, 2011·International Urogynecology Journal·Jennifer M WuAlison C Weidner
Apr 25, 2012·International Urogynecology Journal·Vatche A MinassianWalter F Stewart
Feb 19, 2013·International Urogynecology Journal·Erin C CrosbyMichael K Flynn
Aug 19, 2011·Current Urology Reports·Erin C ChongJennifer T Anger
Jun 15, 2013·Best Practice & Research. Clinical Obstetrics & Gynaecology·Stergios K Doumouchtsis, Eleftheria L Chrysanthopoulou
Mar 7, 2008·The New England Journal of Medicine·Rebecca G Rogers
Mar 16, 2012·Journal of Endourology·Michael H JohnsonCarl G Klutke
Jan 26, 2010·Journal of Women's Health·Anca D DragomirDonna D Baird
Nov 26, 2010·Tissue Engineering. Part a·Tetsuya ImamuraOsamu Nishizawa
Apr 9, 2013·Clinical Obstetrics and Gynecology·Anna C Kirby, Charles W Nager
May 27, 2011·American Journal of Physiology. Renal Physiology·Hardeep S PhullMargot S Damaser
Apr 15, 2008·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Farzaneh Sharifiaghdas, Nassrin Mortazavi
Nov 14, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Phillip P SmithRodney A Appell
Sep 14, 2013·International Urogynecology Journal·Thomas AigmuellerKarl Tamussino
Sep 17, 2014·Complementary Therapies in Clinical Practice·Padmaja Arkalgud RangaswamySumana Nagapattinam
Jan 11, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Tomonori BabaKazuo Kaneko
May 23, 2007·The New England Journal of Medicine·Michael E AlboUNKNOWN Urinary Incontinence Treatment Network
Feb 5, 2011·Maturitas·Ahmed S El-Hefnawy, Bassem S Wadie
Mar 3, 2010·Critical Care Nursing Clinics of North America·Tamara M Robertson, Amy S Hamlin
Jun 19, 2009·The Journal of Urology·Edoardo TartagliaVincenzo Ferdinandi
Jun 19, 2009·The Journal of Urology·Lun-Hsiang YuanKuang-Kuo Chen
Feb 24, 2009·Primary Care·Linda FrenchSaudia Mushkbar
Sep 20, 2008·The Journal of Urology·Firouz DaneshgariMia Swartz
Jun 10, 2008·Journal of Minimally Invasive Gynecology·Menahem Neuman
Mar 4, 2008·Journal of Minimally Invasive Gynecology·Edward J Stanford, Marie Fidela R Paraiso
Sep 11, 2008·BJU International·Daniel EberliAnthony Atala
Aug 10, 2011·Neurourology and Urodynamics·Donna J HaworthDavid A Vorp
Dec 6, 2011·The Journal of Obstetrics and Gynaecology Research·Yan WenBertha Chen
Jun 16, 2011·Neurourology and Urodynamics·Yan WenBertha Chen
Mar 1, 2012·Lower Urinary Tract Symptoms·Tetsuya ImamuraOsamu Nishizawa
Aug 27, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·Si Ismail
Aug 21, 2015·IEEE Transactions on Bio-medical Engineering·Robert KaramSwarup Bhunia
Apr 20, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Menahem Neuman
Apr 12, 2015·International Urogynecology Journal·Tsia-Shu LoZalina Nusee
Jan 31, 2013·Journal of Medical Engineering & Technology·Hongzhi SunHuikai Xie
Apr 21, 2009·American Journal of Obstetrics and Gynecology·Sallie S OliphantJerry L Lowder

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.