Nadir I Osman1, Vincenzo Li Marzi2, Jean N Cornu3, Marcus J Drake4. 1. Royal Hallamshire Hospital, Sheffield, UK. Electronic address: nadirosman@hotmail.com. 2. Department of Urology, Careggi University Hospital, Florence, Italy. 3. Department of Urology, Rouen University Hospital and University of Rouen, Rouen, France. 4. School of Clinical Sciences, University of Bristol, Bristol, UK.
Abstract
CONTEXT: Stress urinary incontinence (SUI) is a common and bothersome problem that frequently requires operative management. Over the past two decades, novel techniques have been introduced into clinical practice. With the greater variety of surgical options now available, there is an increasing focus on selecting the appropriate procedure for the individual patient based on the likely underlying pathophysiologic mechanism. OBJECTIVE: To review the methods used in the evaluation of SUI and the proposed classification systems. EVIDENCE ACQUISITION: A search of the PubMed database for the relevant search terms was conducted, and selected articles were retrieved and reviewed. EVIDENCE SYNTHESIS: Standardised terminology for the description of SUI has been produced by the International Continence Society describing the problem in terms of symptoms, clinical signs, and urodynamic observations. The two major pathophysiologic theories that have emerged over the past 50 yr, urethral hypermobility and intrinsic sphincteric deficiency, have influenced the development and adoption of surgical techniques. It is now recognised that these two entities are not dichotomous but often coexist. The primary aim of the evaluation of the patient presenting with SUI is to confirm the diagnosis and assess symptom severity before instituting conservative treatments. Secondary evaluation consists of more sophisticated techniques that assess anatomy of the bladder neck and urethra under rest and stress (eg, videourodynamics, ultrasound) or direct or indirect physiologic measures of the integrity of the sphincter mechanism. CONCLUSIONS: Classification of patients with SUI into distinct groups based on probable pathophysiologic mechanism could help guide the choice of surgical procedure, but current systems are likely too simplistic, and methods of assessment lack standardisation in techniques and sensitivity. PATIENT SUMMARY: Urinary leakage on exertion, termed stress incontinence, is a common problem that affects many women. There is a need to develop better ways of categorising the underlying causes of leakage to ensure that patients receive the optimal treatments.
CONTEXT: Stress urinary incontinence (SUI) is a common and bothersome problem that frequently requires operative management. Over the past two decades, novel techniques have been introduced into clinical practice. With the greater variety of surgical options now available, there is an increasing focus on selecting the appropriate procedure for the individual patient based on the likely underlying pathophysiologic mechanism. OBJECTIVE: To review the methods used in the evaluation of SUI and the proposed classification systems. EVIDENCE ACQUISITION: A search of the PubMed database for the relevant search terms was conducted, and selected articles were retrieved and reviewed. EVIDENCE SYNTHESIS: Standardised terminology for the description of SUI has been produced by the International Continence Society describing the problem in terms of symptoms, clinical signs, and urodynamic observations. The two major pathophysiologic theories that have emerged over the past 50 yr, urethral hypermobility and intrinsic sphincteric deficiency, have influenced the development and adoption of surgical techniques. It is now recognised that these two entities are not dichotomous but often coexist. The primary aim of the evaluation of the patient presenting with SUI is to confirm the diagnosis and assess symptom severity before instituting conservative treatments. Secondary evaluation consists of more sophisticated techniques that assess anatomy of the bladder neck and urethra under rest and stress (eg, videourodynamics, ultrasound) or direct or indirect physiologic measures of the integrity of the sphincter mechanism. CONCLUSIONS: Classification of patients with SUI into distinct groups based on probable pathophysiologic mechanism could help guide the choice of surgical procedure, but current systems are likely too simplistic, and methods of assessment lack standardisation in techniques and sensitivity. PATIENT SUMMARY: Urinary leakage on exertion, termed stress incontinence, is a common problem that affects many women. There is a need to develop better ways of categorising the underlying causes of leakage to ensure that patients receive the optimal treatments.
Authors: Andrea Cocci; Giovanni E Cacciamani; Giorgio Ivan Russo; Maria Angela Cerruto; Martina Milanesi; Luis G Medina; Sebastiano Cimino; Walter Artibani; Giuseppe Morgia; Marco Carini; Vincenzo Li Marzi Journal: Int Neurourol J Date: 2017-12-31 Impact factor: 2.835
Authors: Florian A Schmid; Ryszard S Gomolka; Andreas M Hötker; Andreas Boss; Thomas M Kessler; Cristina Rossi; Daniel Eberli Journal: Int Neurourol J Date: 2020-12-31 Impact factor: 2.835