Trends toward less invasive treatment of female stress urinary incontinence.

Recent improvements in our understanding of the underlying pathophysiologic mechanisms responsible for stress urinary incontinence (SUI) in women have led to the development of innovative new surgical methods. Many are less invasive than previous techniques and appear to offer improved safety and shorter hospital stays, while maintaining the efficacy of traditional open incontinence surgery. Procedures using injectable periurethral bulking agents, laparoscopic colposuspension, and insertion of tension-free vaginal tape characterize this current trend toward less invasive surgical treatments. The increasing range of available procedures allows surgical treatment of SUI to be individualized for the patient. Women of diverse ages and levels of medical fitness can increasingly be offered a choice of safe, effective treatment for SUI.

[1]  U. Ulmsten,et al.  Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. , 1995, Scandinavian journal of urology and nephrology.

[2]  H. Fatthy,et al.  Modified Burch colposuspension: laparoscopy versus laparotomy. , 2001, The Journal of the American Association of Gynecologic Laparoscopists.

[3]  C. Maher,et al.  A randomised trial of colposuspension and tension-free vaginal tape (TVT) for primary genuine stress incontinence , 2000 .

[4]  P. Sedgwick,et al.  Distress and delay associated with urinary incontinence, frequency, and urgency in women. , 1988, BMJ.

[5]  Orchard Tj.  Letter: Mobile coronary care. , 1974 .

[6]  C. Roehrborn,et al.  Female Stress Urinary Incontinence Clinical Guidelines Panel summary report on surgical management of female stress urinary incontinence. The American Urological Association. , 1997, The Journal of urology.

[7]  A. Marchetti,et al.  The correction of stress incontinence by simple vesicourethral suspension. , 1949, Surgery, gynecology & obstetrics.

[8]  J. Ross,et al.  Two techniques of laparoscopic Burch repair for stress incontinence: a prospective, randomized study. , 1996, The Journal of the American Association of Gynecologic Laparoscopists.

[9]  N. Black,et al.  The effectiveness of surgery for stress incontinence in women: a systematic review. , 1996, British journal of urology.

[10]  T. El-toukhy,et al.  The efficacy of laparoscopic mesh colposuspension: results of a prospective controlled study , 2001, BJU International.

[11]  P. Klarskov,et al.  Long-term results of pelvic floor training and surgery for female genuine stress incontinence , 1991, International Urogynecology Journal.

[12]  A. Kligman,et al.  Histologic response to intradermal Zyderm and Zyplast (glutaraldehyde cross-linked) collagen in humans. , 1986, The Journal of dermatologic surgery and oncology.

[13]  U. Ulmsten,et al.  Tension-Free Vaginal Tape (TVT) in Women with Recurrent Stress Urinary Incontinence – A Long-term Follow up , 2001, International Urogynecology Journal.

[14]  A. Aldridge.  Transplantation of fascia for relief of urinary stress incontinence , 1942 .

[15]  P. Smith,et al.  Periurethral granuloma: unusual complication of Teflon periurethral injection. , 1988, Urology.

[16]  L. Cardozo,et al.  GAX collagen in the treatment of urinary incontinence in elderly women: a two year follow up , 1997, British journal of obstetrics and gynaecology.

[17]  B. Murless.  The Injection Treatment of Stress Incontinence , 1938 .

[18]  P. O'brien.  Yearbook of Obstetrics and Gynaecology , 1998 .

[19]  A. Kegel,et al.  Physiologic therapy for urinary stress incontinence. , 1951, Journal of the American Medical Association.

[20]  K. Burgio,et al.  Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises , 1990 .

[21]  S. Stanton,et al.  Periurethral collagen injections for genuine stress incontinence: a 2-year follow-up. , 1995, British journal of urology.

[22]  T. Su,et al.  Prospective comparison of laparoscopic and traditional colposuspensions in the treatment of genuine stress incontinence , 1997, Acta obstetricia et gynecologica Scandinavica.

[23]  M. Chancellor,et al.  Sutureless endoscopic colposuspension with fibrin sealant. , 1995, Techniques in urology.

[24]  K. Kreder,et al.  Comparative cost analysis of collagen injection and fascia lata sling cystourethropexy for the treatment of type III incontinence in women [ssee comments]. , 1997, The Journal of urology.

[25]  U. Ulmsten,et al.  Long-term Results of the Tension-Free Vaginal Tape (TVT) Procedure for Surgical Treatment of Female Stress Urinary Incontinence , 2001, International Urogynecology Journal.

[26]  U. Ulmsten,et al.  An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence , 2005, International Urogynecology Journal.

[27]  J. C. Burch.  Urethrovaginal fixation to Cooper's ligament for correction of stress incontinence, cystocele, and prolapse. , 1961, American journal of obstetrics and gynecology.

[28]  L. Heisterberg,et al.  [Conservative treatment of urinary incontinence in women]. , 1987, Ugeskrift for laeger.

[29]  P. Wilson,et al.  An objective assessment of physiotherapy for female genuine stress incontinence , 1987, British journal of obstetrics and gynaecology.

[30]  R. Appell,et al.  Periurethral injection of collagen in the treatment of intrinsic sphincteric deficiency in the female patient. , 1995, The Urologic clinics of North America.

[31]  L. Cardozo,et al.  A comparison of vaginal and suprapubic surgery in the correction of incontience due to urethral sphincter incompetence. , 1979, British journal of urology.

[32]  T. Talseth,et al.  Long‐Term Effect of Pelvic Floor Muscle Exercise 5 Years After Cessation of Organized Training , 1996, Obstetrics and gynecology.

[33]  P. Hilton,et al.  A clinical and urodynamic assessment of the Burch colposuspension for genuine stress incontinence , 1983, British journal of obstetrics and gynaecology.

[34]  L. Cardozo,et al.  A new intravaginal device for stress incontinence in women , 2001, BJU international.

[35]  R. Summitt.  Randomized comparison of laparoscopic and transabdominal burch urethropexy for the treatment of genuine stress incontinence , 2000 .

[36]  W. Schuessler,et al.  Laparoscopic bladderneck suspension. , 1991, Journal of laparoendoscopic surgery.

[37]  G. Jarvis.  Surgery for genuine stress incontinence , 1994, British journal of obstetrics and gynaecology.

[38]  I. Aaronson,et al.  Migration of polytef paste to the lung and brain following intravesical injection for the correction of reflux , 1991, Pediatric Surgery International.

[39]  G. Lose.  Laparoscopic Burch colposuspension. , 1998, Acta obstetricia et gynecologica Scandinavica. Supplement.

[40]  U. Ulmsten,et al.  AN INTEGRAL THEORY OF FEMALE URINARY INCONTINENCE , 1990, Acta obstetricia et gynecologica Scandinavica. Supplement.

[41]  Magnus Fall,et al.  The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. , 2003, Urology.

[42]  G. Hosker,et al.  Laparoscopic Burch colposuspension: a minimum of 2 years' follow up and comparison with open colposuspension , 1998 .

[43]  U. Ulmsten,et al.  Tension-Free Vaginal Tape (TVT) in Stress Incontinent Women with Intrinsic Sphincter Deficiency (ISD) – A Long-Term Follow-up , 2001, International Urogynecology Journal.

[44]  S. Eckford,et al.  Para-urethral collagen implantation for female stress incontinence. , 1991, British journal of urology.

[45]  R. D. de Bie,et al.  Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials. , 1998, British journal of urology.

[46]  G. Lose,et al.  Preventive vaginal and intra-urethral devices in the treatment of female urinary stress incontinence. , 1997, Current opinion in obstetrics & gynecology.

[47]  D. McClish,et al.  Efficacy of Estrogen Supplementation in the Treatment of Urinary Incontinence , 1996, Obstetrics and gynecology.