Incontinenza urinaria da sforzo: Una panoramica su gli attuali trend chirurgici

Translated title of the contribution: Stress urinary incontinence: An overview on actual surgical trends

A. Perrone, A. Tinelli, T. Menis, A. Lukanovic, M. Barbic, S. Rakar, U. Wiesenfeld, R. Tinelli, F. G. Tinelli

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Stress urinary female incontinence (IUS) is an unpleasant symptom describing a loss of urine during physical exertion; genuine stress incontinence (GSI) is a socially unacceptable, involuntary loss of urine in absence of detrusor activity from the urethra associated with sudden cough or strain. The incidence of IUS is less than 10% in reproductive-age women but may approach 10-20% in postmenopausal women. The IUS pathophysiology is connected with two specific mechanisms: the urethral-bladder sliding out of anatomical area involves the normal system of endobladder/intraabdominal pressures, with a loss of urine; the second mechanism involves the damaged urethral sphincteric function, with a reduction of the urethral closure pressure and a urinary loss after minimal physical stimulation. The IUS medical therapy is troublesome and often inefficient, and the only approved effective measures are the surgical procedures, actually reserved for cases of unsuccessful medical therapy; surgical treatments can be classified according to the access as: vaginal, abdominal, associated and complex. They intend to reposition the urethral-bladder sliding in its normal intra-abdominal position, to allow equal transmission of increased intraabdominal pressure to the bladder and the proximal urethra. In the scientific literature there are more than one hundred surgical procedures for IUS correction, but the IUS surgical approach is anyway the actual gold standard therapy.

Original languageItalian
Pages (from-to)25-36
Number of pages12
JournalMinerva Ginecologica
Volume55
Issue number1
Publication statusPublished - Feb 2003

Fingerprint

Stress Urinary Incontinence
Urinary Bladder
Urine
Urethra
Pressure
Physical Stimulation
Literature
Physical Exertion
Therapeutics
Cough
Incidence

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Perrone, A., Tinelli, A., Menis, T., Lukanovic, A., Barbic, M., Rakar, S., ... Tinelli, F. G. (2003). Incontinenza urinaria da sforzo: Una panoramica su gli attuali trend chirurgici. Minerva Ginecologica, 55(1), 25-36.

Incontinenza urinaria da sforzo : Una panoramica su gli attuali trend chirurgici. / Perrone, A.; Tinelli, A.; Menis, T.; Lukanovic, A.; Barbic, M.; Rakar, S.; Wiesenfeld, U.; Tinelli, R.; Tinelli, F. G.

In: Minerva Ginecologica, Vol. 55, No. 1, 02.2003, p. 25-36.

Research output: Contribution to journalArticle

Perrone, A, Tinelli, A, Menis, T, Lukanovic, A, Barbic, M, Rakar, S, Wiesenfeld, U, Tinelli, R & Tinelli, FG 2003, 'Incontinenza urinaria da sforzo: Una panoramica su gli attuali trend chirurgici', Minerva Ginecologica, vol. 55, no. 1, pp. 25-36.
Perrone A, Tinelli A, Menis T, Lukanovic A, Barbic M, Rakar S et al. Incontinenza urinaria da sforzo: Una panoramica su gli attuali trend chirurgici. Minerva Ginecologica. 2003 Feb;55(1):25-36.
Perrone, A. ; Tinelli, A. ; Menis, T. ; Lukanovic, A. ; Barbic, M. ; Rakar, S. ; Wiesenfeld, U. ; Tinelli, R. ; Tinelli, F. G. / Incontinenza urinaria da sforzo : Una panoramica su gli attuali trend chirurgici. In: Minerva Ginecologica. 2003 ; Vol. 55, No. 1. pp. 25-36.
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