Walter Andrew J, Iglesia Cheryl B
Division of Urogynecology, David Grant Medical Center, 101 Bodin Circle, Travis Air Force Base, CA 94535, USA.
Curr Womens Health Rep. 2002 Aug;2(4):291-7.
Stress urinary incontinence is defined as the symptomatic loss of urine related to increases in intra-abdominal pressure. A variety of nonsurgical therapies with varying degrees of effectiveness and patient acceptance are available. If nonsurgical therapies fail, then multiple surgical options exist, including retropubic urethropexy, bulking agents, pubovaginal slings, and sling variants. A surgical algorithm based on the amount of anterior vaginal wall prolapse (including urethrovesical mobility) and urethral sphincter function utilizing these procedures is reported herein.