A review of surgical management of genuine stress incontinence in women, with a discussion of innovative procedures

Geoffrey W. Cundiff, E. James Wright

Research output: Contribution to journalArticle

Abstract

Background Recent improvements in the understanding of the physiology and anatomy of the female lower urinary tract, in conjunction with advances in surgical materials and instrumentation, have created an environment that cultivates new approaches to treating urinary incontinence in women. Changes in healthcare allocation and reimbursement focus attention on the development of minimally invasive outpatient procedures with reliable and durable outcomes. Methods A thorough review of the literature concerning surgical management of genuine stress incontinence was undertaken, with a focus on innovative approaches. These were then assessed in the context of established practice. Discussion These forces have produced new surgical techniques for genuine stress incontinence and have modified the application of established techniques. In the absence of long-term evaluation, the effectiveness of these innovative procedures remains to be determined relative to more traditional approaches. Conclusion This review aims to characterize the recent evolution of surgery to correct genuine stress incontinence and place the new techniques in the context of established techniques.

Original languageEnglish (US)
Pages (from-to)271-278
Number of pages8
JournalJournal of Pelvic Surgery
Volume4
Issue number6
StatePublished - 1998

ASJC Scopus subject areas

  • Surgery

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