Surgical Management of Urinary Stress Incontinence

Abstract

Urinary incontinence (UI) is defined by the International Continence Society as an “involuntary loss of urine which is objectively a demonstrable, social, and hygienic problem. Stress incontinence which constitutes nearly the half of all urinary incontinence cases, mainly depends on surgical treatment. There is not an optimal surgical procedure for treatement stress urinary incontinance. Treatment alternatives should be individualised for each patient. Assessment of patients presenting with urinary incontinence should include a focused medical history and examination and incontinence type should be determined. Preoperative, the type of incontinence should be determined and the optimal treatment should be planned. Several surgical techniques have been developed and long term outcomes published in recent years. Midurethral slings have become the most commonly performed procedures for urinary stress incontinence since they are safe, effective and have good long term outcomes. But it should be kept in mind that there is no single operation successful for the urinary stres incontinence.