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 language | Italian |
|---|---|
| Pages (from-to) | 25-36 |
| Number of pages | 12 |
| Journal | Minerva Ginecologica |
| Volume | 55 |
| Issue number | 1 |
| Publication status | Published - Feb 2003 |
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ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
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 journal › Article
}
TY - JOUR
T1 - Incontinenza urinaria da sforzo
T2 - Una panoramica su gli attuali trend chirurgici
AU - Perrone, A.
AU - Tinelli, A.
AU - Menis, T.
AU - Lukanovic, A.
AU - Barbic, M.
AU - Rakar, S.
AU - Wiesenfeld, U.
AU - Tinelli, R.
AU - Tinelli, F. G.
PY - 2003/2
Y1 - 2003/2
N2 - 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.
AB - 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.
KW - Urinary incontinence, diagnosis
KW - Urinary incontinence, surgery
KW - Urologic surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=0037320814&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0037320814&partnerID=8YFLogxK
M3 - Articolo
C2 - 12598840
AN - SCOPUS:0037320814
VL - 55
SP - 25
EP - 36
JO - Minerva Ginecologica
JF - Minerva Ginecologica
SN - 0026-4784
IS - 1
ER -