REVIEW  UPDATES IN GYNECOLOGICAL MINIMALLY INVASIVE APPROACH AND MEDICAL THERAPY 

Minerva Obstetrics and Gynecology 2021 April;73(2):140-4

DOI: 10.23736/S2724-606X.20.04658-4

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Update on surgical treatment of female stress urinary incontinence

Marco MONTI, Margherita FISCHETTI, Anna DI PINTO ✉, Giusi SANTANGELO, Andrea GIANNINI, Ottavia D’ORIA, Tullio GOLIA D’AUGÈ, Fabiana CARBONE, Giorgia PERNIOLA, Violante DI DONATO, Innocenza PALAIA, Ludovico MUZII, Pierluigi BENEDETTI PANICI

Department of Maternal and Child Health and Urological Sciences, Umberto I Polyclinic Hospital, Sapienza University, Rome, Italy

INTRODUCTION: Urinary incontinence is a common condition that negatively impacts quality of life of millions of women. It is a result of a synergy between the structures of pelvic floor in particular levator ani muscle and pelvic connective tissues. Urinary incontinence, increasing with age, is associated with considerable personal and societal expenditure.
EVIDENCE ACQUISITION: Systematic data search performed using PubMed/Medline database up to August 20, 2020. Focus was only for English language publications of original studies on urinary incontinence and in particular stress urinary incontinence.
EVIDENCE SYNTHESIS: Given the basis of published evidence and the consensus of European experts, this study provides an updated overview on clinical applications and surgical procedures of urinary incontinence.
CONCLUSIONS: Urinary incontinence is an underestimated health problem. Many surgical options exist for women with stress urinary incontinence. Nevertheless, new strategies need to be evaluated in order to improve quality of life of patients.

KEY WORDS: Urinary incontinence; Urinary incontinence, stress; Surgery