Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Konkret geht es um den Diabetes-Patienten mit kardiovaskulären Erkrankungen oder Risiken, die Herzinsuffizienz sowie die kardiovaskuläre Primär- und Sekundärprävention. Sind Sie hier schon auf dem neuesten Stand? Unsere Experten beleuchten, wo und warum das bisherige Procedere geändert werden soll und was in der Praxis sinnvoll ist. Holen Sie sich Ihr Update und 2 CME-Punkte beim MMW-Webinar am 24. April von 17.30 bis 19 Uhr. 
Erweiterte Suche
Anmelden
nach oben
Current Bladder Dysfunction Reports
Erschienen in: Current Bladder Dysfunction Reports 3/2018

15.06.2018 | Stress Incontinence and Prolapse (S Reynolds, Section Editor)

AUA Guidelines on Stress Urinary Incontinence: What Is New in the Guidelines?

verfasst von: Katherine A. Amin, Karmon Janssen, Kathleen C. Kobashi

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose of the Review

Stress urinary incontinence is a prevalent condition that can have a detrimental impact on the quality of life of affected individuals. Once judicious assessment of degree of bother the symptoms are causing a patient is performed, it is crucial to incorporate appropriate counseling and patient education as part of symptom management. Treatment modalities have evolved over the last several decades, and both nonsurgical and surgical treatment options should be discussed. This review highlights the recently published guidelines update from the American Urological Association (AUA) and the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) for recommendations regarding the workup and treatment of stress urinary incontinence and a comprehensive overview of outcomes.

Recent Findings

A new set of guidelines addressing surgical options for female stress incontinence based upon a widespread literature and abstract search that spanned from January 2005 to September 2016 was recently published by the AUA and SUFU. This extensive undertaking highlights systematic reviews, randomized controlled trials, controlled clinical trials, and observational studies in an effort to reflect the evolution of anti-incontinence therapies.

Summary

This review focuses on the new changes from the recent guidelines for surgical management of stress urinary incontinence. As part of today’s contemporary landscape of patient-centered healthcare, emphasis is placed on patient counseling and outlining patient expectations, with communication and early intervention playing a large role in surgical management.
Literatur
1.
• Kobashi KC, et al. Surgical Treatment of Female Stress Urinary Incontinence: AUA/SUFU Guideline. J Urol. 2017;198(4):875–83. Recently published guidelines for surgical treatment options for stress urinary incontinence and overall 3 rd guideline of its kind addressing stress urinary incontinence. CrossRefPubMed
2.
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37–49.CrossRefPubMed
3.
Wein, A.J., L.R. Kavoussi, and M.F. Campbell, Campbell-Walsh urology / editor-in-chief, Alan J. Wein ; [editors, Louis R. Kavoussi ... et al.]. 10th ed. 2012, Philadelphia, PA: Elsevier Saunders.
4.
Padmanabhan P, Dmochowski R. Urinary incontinence in women: a comprehensive review of the pathophysiology, diagnosis and treatment. Minerva Ginecol. 2014;66(5):469–78.PubMed
5.
Lemack GE. Urodynamic assessment of patients with stress incontinence: how effective are urethral pressure profilometry and abdominal leak point pressures at case selection and predicting outcome? Curr Opin Urol. 2004;14(6):307–11.CrossRefPubMed
6.
Albo M, Wruck L, Baker J, Brubaker L, Chai T, Dandreo KJ, et al. The relationships among measures of incontinence severity in women undergoing surgery for stress urinary incontinence. J Urol. 2007;177(5):1810–4.CrossRefPubMed
7.
Park KK, Kim SD, Huh JS, Kim YJ. A study of clinical predictors associated with intrinsic sphincter deficiency in women with stress urinary incontinence. Int Neurourol J. 2017;21(2):139–42.CrossRefPubMedPubMedCentral
8.
Hillary CJ, Osman N, Chapple C. Considerations in the modern management of stress urinary incontinence resulting from intrinsic sphincter deficiency. World J Urol. 2015;33(9):1251–6.CrossRefPubMed
9.
Thom DH, Nygaard IE, Calhoun EA. Urologic diseases in America project: urinary incontinence in women-national trends in hospitalizations, office visits, treatment and economic impact. J Urol. 2005;173(4):1295–301.CrossRefPubMed
10.
Margalith I, Gillon G, Gordon D. Urinary incontinence in women under 65: quality of life, stress related to incontinence and patterns of seeking health care. Qual Life Res. 2004;13(8):1381–90.CrossRefPubMed
11.
Hampel C, Artibani W, Espuña Pons M, Haab F, Jackson S, Romero J, et al. Understanding the burden of stress urinary incontinence in Europe: a qualitative review of the literature. Eur Urol. 2004;46(1):15–27.CrossRefPubMed
12.
McKenzie S, Watson T, Thompson J, Briffa K. Stress urinary incontinence is highly prevalent in recreationally active women attending gyms or exercise classes. Int Urogynecol J. 2016;27(8):1175–84.CrossRefPubMed
13.
Goode PS, et al. Population based study of incidence and predictors of urinary incontinence in black and white older adults. J Urol. 2008;179(4):1449–53. discussion 1453–4CrossRefPubMedPubMedCentral
14.
Minassian VA, Devore E, Hagan K, Grodstein F. Severity of urinary incontinence and effect on quality of life in women by incontinence type. Obstet Gynecol. 2013;121(5):1083–90.CrossRefPubMedPubMedCentral
15.
Hannestad YS, Rortveit G, Sandvik H, Hunskaar S, Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol. 2000;53(11):1150–7.CrossRefPubMed
16.
Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA. 2008;299(12):1446–56.CrossRefPubMed
17.
Martin JL, et al. Systematic review and meta-analysis of methods of diagnostic assessment for urinary incontinence. Neurourol Urodyn. 2006;25(7):674–83. discussion 684CrossRefPubMed
18.
Zimmern P, Litman H, Nager C, Sirls L, Kraus SR, Kenton K, et al. Pre-operative urodynamics in women with stress urinary incontinence increases physician confidence, but does not improve outcomes. Neurourol Urodyn. 2014;33(3):302–6.CrossRefPubMed
19.
Nager CW, Brubaker L, Litman HJ, Zyczynski HM, Varner RE, Amundsen C, et al. A randomized trial of urodynamic testing before stress-incontinence surgery. N Engl J Med. 2012;366(21):1987–97.CrossRefPubMedPubMedCentral
20.
Hullfish KL, Bovbjerg VE, Gurka MJ, Steers WD. Surgical versus nonsurgical treatment of women with pelvic floor dysfunction: patient centered goals at 1 year. J Urol. 2008;179(6):2280–5; discussion 2285.CrossRefPubMedPubMedCentral
21.
Breyer BN, Phelan S, Hogan PE, Rosen RC, Kitabchi AE, Wing RR, et al. Intensive lifestyle intervention reduces urinary incontinence in overweight/obese men with type 2 diabetes: results from the Look AHEAD trial. J Urol. 2014;192(1):144–9.CrossRefPubMedPubMedCentral
22.
Phelan S, Kanaya AM, Subak LL, Hogan PE, Espeland MA, Wing RR, et al. Weight loss prevents urinary incontinence in women with type 2 diabetes: results from the Look AHEAD trial. J Urol. 2012;187(3):939–44.CrossRefPubMedPubMedCentral
23.
Thor KB, Donatucci C. Central nervous system control of the lower urinary tract: new pharmacological approaches to stress urinary incontinence in women. J Urol. 2004;172(1):27–33.CrossRefPubMed
24.
Ford, A.A., et al.. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2015(7): p. CD006375.
25.
Nilsson CG, Palva K, Aarnio R, Morcos E, Falconer C. Seventeen years’ follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence. Int Urogynecol J. 2013;24(8):1265–9.CrossRefPubMed
26.
Stanford E, Moen M. Patient safety communication from the Food and Drug Administration regarding transvaginal mesh for pelvic organ prolapse surgery. J Minim Invasive Gynecol. 2011;18(6):689–91.CrossRefPubMed
27.
Chen HY, Ho M, Hung YC, Huang LC. Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(1):117–21.CrossRefPubMed
28.
Kokanali MK, Doğanay M, Aksakal O, Cavkaytar S, Topçu HO, Özer İ. Risk factors for mesh erosion after vaginal sling procedures for urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2014;177:146–50.CrossRefPubMed
29.
Lord HE, et al. A randomized controlled equivalence trial of short-term complications and efficacy of tension-free vaginal tape and suprapubic urethral support sling for treating stress incontinence. BJU Int. 2006;98(2):367–76.CrossRefPubMed
30.
Richter HE, Albo ME, Zyczynski HM, Kenton K, Norton PA, Sirls LT, et al. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med. 2010;362(22):2066–76.CrossRefPubMedPubMedCentral
31.
Ford AA, Ogah JA. Retropubic or transobturator mid-urethral slings for intrinsic sphincter deficiency-related stress urinary incontinence in women: a systematic review and meta-analysis. Int Urogynecol J. 2016;27(1):19–28.CrossRefPubMed
32.
Nambiar, A., J.D. Cody, and S.T. Jeffery. Single-incision sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2014(6): p. CD008709.
33.
Fan Y, Huang Z, Yu D. Incontinence-specific quality of life measures used in trials of sling procedures for female stress urinary incontinence: a meta-analysis. Int Urol Nephrol. 2015;47(8):1277–95.CrossRefPubMed
34.
Zhang P, Fan B, Zhang P, Han H, Xu Y, Wang B, et al. Meta-analysis of female stress urinary incontinence treatments with adjustable single-incision mini-slings and transobturator tension-free vaginal tape surgeries. BMC Urol. 2015;15:64.CrossRefPubMedPubMedCentral
35.
Chaikin DC, Rosenthal J, Blaivas JG. Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. J Urol. 1998;160(4):1312–6.CrossRefPubMed
36.
Athanasopoulos A, Gyftopoulos K, McGuire EJ. Efficacy and preoperative prognostic factors of autologous fascia rectus sling for treatment of female stress urinary incontinence. Urology. 2011;78(5):1034–8.CrossRefPubMed
37.
Morgan TO Jr, Westney OL, McGuire EJ. Pubovaginal sling: 4-YEAR outcome analysis and quality of life assessment. J Urol. 2000;163(6):1845–8.CrossRefPubMed
38.
Albo ME, Richter HE, Brubaker L, Norton P, Kraus SR, Zimmern PE, et al. Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med. 2007;356(21):2143–55.CrossRefPubMed
39.
Brubaker L, et al. 5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence. J Urol. 2012;187(4):1324–30.CrossRefPubMedPubMedCentral
40.
Schierlitz L, Dwyer PL, Rosamilia A, Murray C, Thomas E, de Souza A, et al. Effectiveness of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency: a randomized controlled trial. Obstet Gynecol. 2008;112(6):1253–61.CrossRefPubMed
41.
Phe V, et al. Long-term functional outcomes after artificial urinary sphincter implantation in women with stress urinary incontinence. BJU Int. 2014;113(6):961–7.CrossRefPubMed
42.
Mourtzinos A, Maher MG, Raz S, Rodríguez LV. Spiral sling salvage anti-incontinence surgery for women with refractory stress urinary incontinence: surgical outcome and satisfaction determined by patient-driven questionnaires. Urology. 2008;72(5):1044–8. discussion 1048-50CrossRefPubMed
43.
Brubaker L, Cundiff GW, Fine P, Nygaard I, Richter HE, Visco AG, et al. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med. 2006;354(15):1557–66.CrossRefPubMed
44.
• Wei JT, et al. A midurethral sling to reduce incontinence after vaginal prolapse repair. N Engl J Med. 2012;366(25):2358–67. A randomized control trial addressing prophylactic midurethral sling insertion at the time of vaginal prolapse surgery that shows lower rate of urinary incontinence at 1-year follow-up, but higher rates of adverse events. CrossRefPubMedPubMedCentral
45.
Jefferis H, Muriithi F, White B, Price N, Jackson S. Telephone follow-up after day case tension-free vaginal tape insertion. Int Urogynecol J. 2016;27(5):787–90.CrossRefPubMed
46.
Eisenberg D, Hwa K, Wren SM. Telephone follow-up by a midlevel provider after laparoscopic inguinal hernia repair instead of face-to-face clinic visit. JSLS. 2015;19(1):e2014. 00205CrossRefPubMedPubMedCentral
Metadaten
Titel
AUA Guidelines on Stress Urinary Incontinence: What Is New in the Guidelines?
verfasst von
Katherine A. Amin
Karmon Janssen
Kathleen C. Kobashi
Publikationsdatum
15.06.2018
Verlag
Springer US
Erschienen in
Current Bladder Dysfunction Reports / Ausgabe 3/2018
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-018-0467-2

Weitere Artikel der Ausgabe 3/2018

Current Bladder Dysfunction Reports 3/2018 Zur Ausgabe

Overactive Bladder and Lower Urinary Tract Symptoms (U Lee and S Adelstein, Section Editors)

Ketamine-Associated Bladder Dysfunction—a Review of the Literature

Overactive Bladder and Lower Urinary Tract Symptoms (U Lee and S Adelstein, Section Editors)

Post-Implant Management of Sacral Neuromodulation

Overactive Bladder and Lower Urinary Tract Symptoms (U Lee and S Adelstein, Section Editors)

Does Urodynamics Impact the Outcomes of Third-line Therapy of Refractory OAB (or Refractory Urgency Urinary Incontinence)?

Overactive Bladder and Lower Urinary Tract Symptoms (U Lee and S Adelstein, Section Editors)

New Concepts in Bladder Sensation and Urinary Urgency

Neurogenic Bladder (C Powell, Section Editor)

The Role of Chemical Sphincterotomy with Urethral Botulinum Toxin Injection in Patients with Neurogenic and Non-neurogenic Failure to Empty

Overactive Bladder and Lower Urinary Tract Symptoms (U Lee and S Adelstein, Section Editors)

Managing of Lower Urinary Tract Dysfunction Following Stroke

Neu im Fachgebiet Urologie

22.04.2024 | Prostatakarzinom | Nachrichten

Stufenschema weist Prostatakarzinom zuverlässig nach

20.04.2024 | EAU 2024 | Kongressbericht | Nachrichten

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

19.04.2024 | EAU 2024 | Kongressbericht | Nachrichten

Varikozelen bei Jugendlichen: Das Für und Wider der Operation

19.04.2024 | EAU 2024 | Kongressbericht | Nachrichten

Ureterstriktur: Innovative OP-Technik bewährt sich
weitere anzeigen

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen