Stress Urinary Incontinence

STRESS URINARY INCONTINENCE

Stress urinary incontinence (SUI) is a condition with urinary incontinence triggered by activities that increase stress on the bladder and urethra, such as coughing, laughing, sneezing, bending, etc. SUI is diagnosed with physical exam demonstrating transurethral loss of urine with coughing. SUI can be treated with pelvic floor physical therapy or a surgical procedure such as a midurethral sling or urethral bulking. Sling procedures can be performed with synthetic mesh, or "tape," using a transobturator, retropubic or single-incision approach, or with native tissue such as strip of fascia removed from the abdominal wall or leg and then placed under the urethra for support. Urethral bulking can be performed using material such as hydrogel (Bulkamid). Stress urinary incontinence should be evaluated with urodynamic testing if there is also urgency leading to urinary incontinence, advanced pelvic organ prolapse, or a prior surgical intervention for stress urinary incontinence.

Minimally Invasive Urogynecology, Gynecology, and Gynecologic Oncology

Stress Urinary Incontinence

STRESS URINARY INCONTINENCE

Stress Urinary Incontinence

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