Surgical treatment for female stress urinary incontinence: What is the gold-standard procedure?

Maurizio Serati, Stefano Salvatore, Stefano Uccella, Walter Artibani, Giacomo Novara, Linda Cardozo, Pier Francesco Bolis

Research output: Contribution to journalArticlepeer-review

Abstract

In the last few years, the Burch colposuspension and the fascial slings were often defined from the pages of the most relevant journals of general medicine, as gold-standard procedures for the surgical treatment of stress urinary incontinence (SUI), whereas mid-urethral slings (tension-free vaginal tape (TVT) and tension-free vaginal tape obturator) were attributed a marginal and almost experimental role in this field. This poorly reflect the current scenario of the surgical management of SUI: Recently, a number of meta-analysis have demonstrated that TVT is significantly more effective if compared to colposuspension and that it is followed by significantly lower perioperative morbidity if compared to pubovaginal slings. It is not realistic to suggest to general practitioners that the surgical gold standard for SUI includes the performance of a wide laparotomy, long hospital stays and a high risk of long-lasting intermittent self-catheterisation. This would inevitably discourage women from embarking on surgical treatment, which instead could actually improve their quality of life.

Original languageEnglish
Pages (from-to)619-621
Number of pages3
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume20
Issue number6
DOIs
Publication statusPublished - 2009

Keywords

  • SUI
  • TVT
  • TVT-O

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology

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