Multifaceted therapeutic options for stress urinary incontinence in women
DOI:
https://doi.org/10.12775/JEHS.2023.23.01.008Keywords
stress urinary incontinence;, SUI, urinary incontinence, surgical treatment, TOT, TVTAbstract
Stress urinary incontinence (SUI) affects many women worldwide in every age group. Involuntary leakage of urine during abdominal pressure increase significantly reduces the quality of life. The choice of treatment depends on the patient's expectations, the doctor's experience and the severity of symptoms.
Aim of the study: The aim of this study is to discuss the therapeutic methods of stress urinary incontinence (SUI).
Material and method: The work was based on a review of the available literature in the PubMed, Google and Google Scholar databases using the following keywords: stress urinary incontinence; SUI; urinary incontinence in women; Surgical treatment; TOT; TVT.
Results and conclusions: We use conservative and surgical methods in the treatment of stress urinary incontinence. Conservative treatments such as physiotherapy, pharmacotherapy, and behavioral therapy are first-line treatments. In the case of severe symptoms of stress urinary incontinence, surgical treatment is used. The most common method is the Burch operation and TVT and TOT sling operations. Treatment of stress urinary incontinence (SUI) in women requires an approach that takes into account the patient's goals, severity of symptoms, desired effect, physician experience and complications, therefore there is no single effective management.
References
Kobashi KC, Kobashi LI. Female stress urinary incontinence: review of the current literature. Minerva Ginecol. 2006 Aug;58(4):265-82. PMID: 16957671.
Zugor V, Akbarov I, Karapanos L, Heidenreich A. Operative Therapie der weiblichen Inkontinenz [Surgical management of female stress urinary incontinence]. Aktuelle Urol. 2018 Feb;49(1):78-82. German. doi: 10.1055/s-0043-121479. Epub 2018 Feb 1. PMID: 29390220
Bardsley A. Key trends in the management and treatment of stress urinary incontinence. Prof Nurse. 2004 Jun;19(10):30-2. PMID: 15233069.
Purc, D., & Rasała, A. (2015). Metody leczenia nietrzymania moczu. EJMT, 3, 35.
Kaufmann A. Therapieoptionen der weiblichen Belastungsharninkontinenz [Therapeutic options in female stress urinary incontinence]. Aktuelle Urol. 2021 Jun;52(3):245-254. German. doi: 10.1055/a-1439-9628. Epub 2021 Apr 19. PMID: 33873214.
Thuroff JW. Clinical guidelines for the management of incontinence. In: Incontinence. Red. Paul Abrams, Saad Khoury, Alen Wein. 1st International Consultation on Incontinence. Monaco 1998: 931-69
Kwolek A., Rzucidło S., Zwolińska J. i wsp. Leczenie zachowawcze wysiłkowego nietrzymania moczu u kobiet. Prz Med Uniwersytetu Rzeszowskiego, Rzeszów 2006, 3: 227-233
Bender S., Borowski J., Borowski T. i wsp. Nietrzymanie moczu. Med Dypl 2011; 6: 76-81
Moore K. Duloxetine: a new approach for treating stress urinary incontinence. Int J Gynaecol Obstet 2004; 86 (Suppl 1): S53-62.
Norton PA, Zinner NR, Yalcin I, Bump RC. Duloxetine versus placebo in the treatment of stress urinary incontinence. Am J Obstet Gynecol 2002; 187: 40-8
Borowicz A.M., Wieczorowska-Tobis K. Metody fizjoterapeutyczne w leczeniu nietrzymania moczu. Gerontol Pol 2010; 3: 114-119.
Fiodorenko-Dumas Ż., Paprocka-Borowicz M. Postępowanie fizjoterapeutyczne w nietrzymaniu moczu. Med Og Nauk Zdr 2014; 1: 12-16.
Opara J., Socha T., Prajsner A. i wsp. Fizjoterapia w wysiłkowym nietrzymaniu moczu u kobiet. Część I. Aktualne rekomendacje ćwiczeń według Kegla. Fizjoter 2011; 3: 41-49.
Klisowska I., Dąbek A., Zborowska I. i wsp. Nietrzymanie moczu – zadanie dla fizjoterapeuty. Część II. Piel Zdr Publ 2012, 2: 145-152
Vaughan CP, Markland AD. Urinary Incontinence in Women. Ann Intern Med. 2020 Feb 4;172(3):ITC17-ITC32. doi: 10.7326/AITC202002040. PMID: 32016335
Słomko Z. Urologia ginekologiczna. [W:] Słomko Z. [red.] Ginekologia. Wydawnictwo Lekarskie PZWL, Warszawa 2008.
.Nawrocka-Rutkowska J, Szydłowska I, Starczewski A. Jak ograniczyć odsetek niepowodzeń w operacyjnym leczeniu wysiłkowego nietrzymania moczu [How to reduce the failure rate in surgical treatment of stress urinary incontinence]. Pol Merkur Lekarski. 2020 Aug 22;49(286):271-274. Polish. PMID: 32827424.
Wróbel A., Rechberger T., Winkler J. i wsp. Ocena efektywności klinicznej operacji typu T-Sling z fiksacją taśmy wykonywanej w ramach procedury jednodniowej i standardowej. Ginekol Pol 2014; 11: 833-837
Ford A.A., Rogerson L., Cody J.D. et al. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 2015; 7: CD006375
Lavelle ES, Zyczynski HM. Stress Urinary Incontinence: Comparative Efficacy Trials. Obstet Gynecol Clin North Am. 2016 Mar;43(1):45-57. doi: 10.1016/j.ogc.2015.10.009. PMID: 26880507.
Capobianco G, Madonia M, Morelli S, Dessole F, De Vita D, Cherchi PL, Dessole S. Management of female stress urinary incontinence: A care pathway and update. Maturitas. 2018 Mar;109:32-38. doi: 10.1016/j.maturitas.2017.12.008. Epub 2017 Dec 9. PMID: 29452779.
Denisenko AA, Clark CB, D'Amico M, Murphy AM. Evaluation and management of female urinary incontinence. Can J Urol. 2021 Aug;28(S2):27-32. PMID: 34453426.
Vaughan CP, Markland AD. Urinary Incontinence in Women. Ann Intern Med. 2020 Feb 4;172(3):ITC17-ITC32. doi: 10.7326/AITC202002040. PMID: 32016335.
Berek J.S., Novak E. Nietrzymanie moczu. [W:] Berek J.S., Novak E. [red.] Ginekologia. Wyd. Medipage, Warszawa 2008
Caldwell L, White AB. Stress Urinary Incontinence: Slings, Single-Incision Slings, and Nonmesh Approaches. Obstet Gynecol Clin North Am. 2021 Sep;48(3):449-466. doi: 10.1016/j.ogc.2021.05.002. PMID: 34416931.
Potić M, Ignjatović I, Bašić D. Tension free vaginal tape (TVT) vs Transobturator tape (TOT) complications and outcomes. Acta Chir Iugosl. 2014;61(1):81-4. PMID: 25782232.
Łowicki R., Sosnowski M. Wpływ wczesnej diagnostyki urodynamicznej na wyniki leczenia nietrzymania moczu u kobiet. Prz Menopauz 2008; 4: 184-189.
Miekoś E., Sosnowski M., Zydek C. Czynniki ryzyka występowania i zapobieganie nietrzymaniu moczu u kobiet. Prz Menopauz 2004; 5: 43-49.
Wlażlak E., Surkont G., Stetkiewicz T. i wsp. Wpływ wybranych metod nieoperacyjnego leczenia wysiłkowego nietrzymania moczu (WNM) na jakość życia pacjentek. Prz Menopauz 2005; 2: 53-60.
Strupińska E., Gomuła A., Chojnacki J. i wsp. Rehabilitacja w leczeniu wysiłkowego nietrzymania moczu u kobiet. [W:] Gomuła A. [red.] Zaburzenia statyki narządu rodnego. Wysiłkowe nietrzymanie moczu – niedowartościowany problem kliniczny. Białystok 1999
Moore RD, Serels SR, Davila GW, Settle P. Minimally invasive treatment for female stress urinary incontinence (SUI): a review including TVT, TOT, and mini-sling. Surg Technol Int. 2009 Apr;18:157-73. PMID: 19579203.
Radziszewski P., Baranowski W., Nowak-Markwitz E. i wsp. Wytyczne Zespołu Ekspertów odnośnie postępowania diagnostyczno-terapeutycznego u kobiet z nietrzymaniem moczu i pęcherzem nadreaktywnym. Ginekol Pol 2010; 81: 789-793.
Veit-Rubin N, Dubuisson J, Ford A, Dubuisson JB, Mourad S, Digesu A. Burch colposuspension. Neurourol Urodyn. 2019 Feb;38(2):553-562. doi: 10.1002/nau.23905. Epub 2019 Jan 8. PMID: 30620096; PMCID: PMC6850136.
https://www.mp.pl/pacjent/leki/subst.html?id=4440
Capobianco G, Madonia M, Morelli S, Dessole F, De Vita D, Cherchi PL, Dessole S. Management of female stress urinary incontinence: A care pathway and update. Maturitas. 2018 Mar;109:32-38. doi: 10.1016/j.maturitas.2017.12.008. Epub 2017 Dec 9. PMID: 29452779.
Gonzales AL, Barnes KL, Qualls CR, Jeppson PC. Prevalence and Treatment of Postpartum Stress Urinary Incontinence: A Systematic Review. Female Pelvic Med Reconstr Surg. 2021 Jan 1;27(1):e139-e145. doi: 10.1097/SPV.0000000000000866. PMID: 32282522.
Fuselier A, Hanberry J, Margaret Lovin J, Gomelsky A. Obesity and Stress Urinary Incontinence: Impact on Pathophysiology and Treatment. Curr Urol Rep. 2018 Feb 22;19(1):10. doi: 10.1007/s11934-018-0762-7. PMID: 29468457.
Fusco F, Abdel-Fattah M, Chapple CR, Creta M, La Falce S, Waltregny D, Novara G. Updated Systematic Review and Meta-analysis of the Comparative Data on Colposuspensions, Pubovaginal Slings, and Midurethral Tapes in the Surgical Treatment of Female Stress Urinary Incontinence. Eur Urol. 2017 Oct;72(4):567-591. doi: 10.1016/j.eururo.2017.04.026. Epub 2017 May 4. PMID: 28479203.
Rodrigues-Amorim D, Olivares JM, Spuch C, Rivera-Baltanás T. A Systematic Review of Efficacy, Safety, and Tolerability of Duloxetine. Front Psychiatry. 2020 Oct 23;11:554899. doi: 10.3389/fpsyt.2020.554899. PMID: 33192668; PMCID: PMC7644852.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Aleksandra Osińska, Cezary Stawikowski , Bartłomiej Zielonka, Barbara Dengler, Izabela Wolanin, Paulina Krawiec, Ilona Kowalczyk, Bartłomiej Stachyra, Marta Wolanin, Karolina Madej
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 496
Number of citations: 0