Surgery for stress incontinence: Which technique for which patient?
When conservative treatments fail, operative therapy may offer better success—and an increasing number of methods are available. Our experts consider the full range of surgical options and offer guidance on tailoring treatment to the patient’s underlying problem, activity level, and desires.
SAND: It is clear that this is a very exciting time to be treating SUI, with continuing innovation and an increased awareness of the problem by the public. While we all treat these women differently, there is a surprising consensus. We all seem to concur that the operation should be tailored to the individual, considering the relative balance of any concurrent urinary urge incontinence, urethral hypermobility, voiding dysfunction, and the woman’s health and activity level. We all use midurethral slings and periurethral bulking agents in selected women, but still also rely on Burch procedures and bladder-neck slings.
The authors report no financial relationship with any companies whose products are mentioned in this article.
