Urolog. pro Praxi, 2008; 9(6): 292-300

Female stress urinary incontinence - part 1

MUDr. Ivan Kolombo FEBU¹, MUDr. Jitka Kolombová², MUDr. Jaroslav Porš³, et al

¹ Centrum robotické chirurgie a urologie Nemocnice Na Homolce, Praha

² Osteologická poradna Městské nemocnice Turnov

³ Urologická ambulance Městské nemocnice Turnov

Female stress urinary incontinence is one of the most frequent problems in everyday urogynecological practice. The overview has 2 parts. The authors present some current facts about epidemiology, aetiology, pathophysiology and risk factors in part 1. In part 2. the authors present current trends in diagnosis, conservative and surgical treatment. Up to date medical options such as duloxetine, minimally invasive procedures (slings, TVT – Tension-free Vaginal Tape, TOT – Transobturator Tape, urethral bulking agents – injectables -bioimplants – teflon, collagen, silicone micro-implants, dextran copolymer etc. – Macroplastique®, Durasphere®, Deflux®, Uryx®, Coaptite®, Urodex®) and also other efficient strategies and treatment modalities (pelvic floor muscle training, oestrogens, electrostimulation, intravaginal devices, intraurethral plugs, pads, diapers and hygiene products, colposuspension, arteficial sphincter etc.) are also mentioned and discussed.

Keywords: stress urinary incontinence, duloxetine, pelvic floor muscle training, sling, TVT – Tension-free Vaginal Tape, TOT – Transobturator Tape, urethral bulking agents – injectables, pelvic floor muscle training, oestrogens, electrostimulation, intravaginal devices, intraurethral plugs, pads, diapers, hygiene products, colposuspension, arteficial sphincter, incontinence surgery

Published: January 1, 2009  Show citation