Stress urinary incontinence and synthetic mesh midurethral slings in women

Stress urinary incontinence is a common condition affecting 10%-40% of women worldwide, with 3%-17% experiencing severe symptoms. Diagnosis involves identifying involuntary urine leakage during activities that increase intra-abdominal pressure. Differentiating stress urinary incontinence from other...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 2023-08, Vol.195 (32), p.E1082-E1082
Main Authors: Kanji, Sarah, Clancy, Aisling A
Format: Article
Language:English
Subjects:
Care and treatment
Health aspects
Physical therapy
Practice
Suburethral slings
Surgery
Urinary incontinence
Urinary organs
Urinary stress incontinence
Urological surgery
Vagina
Women
Womens health
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Summary:Stress urinary incontinence is a common condition affecting 10%-40% of women worldwide, with 3%-17% experiencing severe symptoms. Diagnosis involves identifying involuntary urine leakage during activities that increase intra-abdominal pressure. Differentiating stress urinary incontinence from other urinary symptoms is important for proper management. Treatment options include pessaries to support the urethra and pelvic physiotherapy to strengthen the supporting muscles. Surgical interventions, such as midurethral slings, can be effective for patients who do not respond to conservative treatments. Mesh exposure is a potential complication, occurring in 1%-2% of patients, but can be managed with vaginal estrogen or surgical intervention. Early complications occur within 30 days of surgery, while later complications may arise within 2 years and include urinary urgency, pain, voiding dysfunction, recurrent incontinence, and mesh exposure. Approximately 6% of patients may require readmission for postoperative complications within 5 years.
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.221592