Stress Urinary Incontinence

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Presentation transcript:

Stress Urinary Incontinence

Definition: symptom, sign, UDS SUI: Hypermobile intrinsic sphincter deficiency

Initial Evaluation(AHCPR) Thorough history Physical examination postvoid residual urinalysis

Initial Evaluation(ICI) History Physical examination Cough stress test Urinalysis postvoid residual Local neurology examination

Initial management Lifestyle intervention Treatment of estrogen deficiency Pelvic floor muscle training & bladder training Vaginal support device Drug therapy

Evaluation before surgery

Surgical techniques for the treatment of SUI