Clinical Case Database / Category: Patient Management

Stress urinary incontinence in women

Publication details

Vladimir Revicky, Timothy R Terry
Foundation Years Journal, volume 9, issue 1, p.32 (123Doc Education, London, January 2015)

Abstract

This case based discussion presents the case of stress urinary incontinence (SUI) in a woman and describes the presentation, clinical history, investigations and treatment for this condition. Good clinical care and patient management parts of the Foundation programme curriculum are covered in this article. The article also discusses different types of continence surgery and potential complications as well as the current controversies surrounding the use of vaginal mesh in urogynaecological surgery.

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Authors

Vladimir Revicky (Corresponding author)

Sub-speciality trainee in Urogynaecology
University Hospitals of Leicester, Leicester General Hospital
Gwendolen Road, Leicester, LE5 4PW
vladimir.revicky@uhl-tr.nhs.uk

Timothy R Terry

Consultant Urological Surgeon, University Hospitals of Leicester
SAC Chair Urology UK & Ireland, Leicester General Hospital
Gwendolen Road, Leicester, LE5 4PW

References

1. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourology and Urodynamics 2002;21(2):167–78.
2. Martin JL, Williams KS, Abrahams KR, et al. Systematic review and evaluation of methods of assessing urinary incontinence. Health Technology Assessment 2006;10(6):1–132.
3. National Institute for Health and Care Excellence. Urinary incontinence in women: the management of urinary incontinence in women. London: National Institute for Health and Care Excellence; 2013. CG171.
4. Dumoulin C, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or in-active control treatments, for urinary incontinence in women (Cochrane review). Cochrane Database of Systematic Reviews 2010;25(1):CD005654.
5. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. International Urogynecology Journal and Pelvic Floor Dysfunction 1996;7(2):81–5.
6. Latthe P, Foon R, Toozs-Hobson P. Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG: An International Journal of Obstetrics & Gynaecology 2007;114:522–31.
7. Kobashi KC, Govier FE. Perioperative complications: the first 140 polypropylene pubovaginal slings. J Urol. 2003;170:1918-21.
8. Teo R, Moran P, Mayne C, Tincello D. Randomized trial of tension-free vaginal tape and tension-free vaginal tape-obturator for urodynamic stress incontinence in women. Journal of Urology 2011;185(4):1350–5.
9. Abdel-fattah M, Ramsay I, Pringle S, et al. Randomised prospective singleblinded study comparing 'inside-out'versus 'outside-in'transobturator tapes in the management of urodynamic stress incontinence: 1-year outcomes from the E-TOT study. BJOG: An International Journal of Obstetrics & Gynaecology 2010;117:870–8.
10. Kennelly MJ, Moore R, Nguyen JN, Lukban J, Siegel S. Miniarc single-incision sling for treatment of stress urinary incontinence: 2-year clinical outcomes. International Urogynecology Journal 2012;23:1285–91.
11. Bernasconi F, Napolitano V, Natale F, Leone V, Lijoi D, Cervigni M. TVT SECUR System: final results of a prospective, observational, multicentric study. International Urogynecology Journal 2012;23:93–8.
12. Basu M, Duckett J. A randomised trial of a retropubic tension-free vaginal tape versus a mini-sling for stress incontinence. BJOG: An International Journal of Obstetrics &Gynaecology 2010;117(6):730–5.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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