Stress urinary incontinence: Where are we now, where should we go?

The Tension–Free Transvaginal Tape Procedure in the Treatment of Female Urinary Stress Incontinence: A French Prospective Multicentre Study

“…In our aforementioned postoperative data, the UVJ hypermobility was corrected in all the cases reported. De novo urgency did not occur in our series and in fact two–thirds of preoperative urgency resolved, possibly through inhibition of urethral instability because of the supporting hammock effect of TVT [19, 20, 21]. However, in a recent series, 15% of the patients developed symptomatic detrusor instability after surgery whereas 50% of the patients presenting preoperative urge incontinence were cured after TVT implantation [9].…”

“…In USI, there is an inadequate urethral support from deficient pubo–urethral ligaments and the suburethral vaginal wall [9]. The principle of TVT consists of recreating a dynamic urethral resistance and a support on the posterior surface of the urethra, like a hammock on which the urethra can rest during abdominal straining [18, 19, 20]. Efficacy and tolerance appear satisfactory, but these results need to be interpreted after several years, the time required to evaluate a new technique to treat USI [21].…”

Retest reliability of surface electromyography on the pelvic floor muscles

“…[1][2][3] Loss of strength and function is often a result secondary to pregnancy and childbirth, 4,5 but can also be a result of surgery, constipation and chronic cough. 1 Dysfunction of the PFM due to loss of strength and function often results in urinary incontinence (UI) and/or pelvic organ prolapse, and is most common in women. 2,4 A European survey from 2004 found a prevalence of UI in 35% of women in the age 18-99.…”

Biofeedback and Pelvic Floor Exercises for the Rehabilitation of Urinary Stress Incontinence

“…The most common type of UI in women is urinary stress incontinence (USI), i.e., the involuntary loss of urine due to physical activity. Genuine stress incontinence is defined as the involuntary loss of urine when the intravesical pressure exceeds the maximum urethral closure pressure in the absence of detrusor activity [6].…”