We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Managing female stress urinary incontinence in a post mesh era: What to do and when to refer.
- Authors
McDonald, Jodie; Homewood, David; West, Courtenay; Fong, Eva; Elmer, Sandra
- Abstract
Background Urinary incontinence is a common presentation in general practice and can significantly affect a patient's quality of life. Stress urinary incontinence (SUI) is defined by the International Continence Society as 'the complaint of any involuntary loss of urine on effort or physical exertion (eg sporting activities), or on sneezing or coughing'. There is a key role for primary care providers in the assessment and management of female SUI. Objective To highlight the key diagnostic and management principles of female SUI in general practice and discuss management options. Discussion SUI can usually be diagnosed based upon clinical history and targeted physical examination. Pelvic floor physiotherapy and lifestyle interventions, including weight modification and management of co-morbidities, are important first-line therapies. Surgical options for both persistent or complex SUI include urethral bulking agents, Burch colposuspension and pubovaginal fascial slings. Synthetic (mesh) mid-urethral slings remain a viable surgical option for women suffering SUI.
- Subjects
URINARY stress incontinence; SUBURETHRAL slings; URINARY incontinence; PELVIC floor; REGULATION of body weight; QUALITY of life
- Publication
Australian Journal of General Practice, 2024, Vol 53, Issue 5, p283
- ISSN
2208-794X
- Publication type
Article
- DOI
10.31128/ajgp-11-23-7019