Abstract

Treatment options for stress urinary incontinence consist of pelvic-floor muscle training (physiotherapy) and/or surgery; however, success rates vary for both approaches and direct comparisons have been limited. Dutch investigators conducted a 12-month, multicenter, randomized trial to compare physiotherapy with midurethral-sling surgery (retropubic or transobturator polypropylene tape) for moderate-to-severe stress-predominant urinary incontinence in 417 women. Crossing over between groups was permitted. Among women in …

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