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The Surgical Management of Stress Urinary Incontinence

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Female Pelvic Surgery

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Abstract

Stress urinary incontinence (SUI) has a reported prevalence between 12.8% and 46%. There is no doubt that SUI has been shown to negatively impact the everyday quality of life (QOL) of women who suffer from this dysfunction. The economic burden for the treatment of urinary incontinence has been estimated to be approximately 19 billion annually in the United States. Risk factors for the development of SUI include age, obesity, previous pelvic surgery, and childbirth. Surgical management of SUI is the standard of care once conservative options, such as behavioral modification, pelvic floor exercises, fluids modification, and scheduled voiding, have been exhausted. The surgical options have evolved over the last few decades to include the Burch colposuspension, periurethral bulking agents, pubovaginal slings, and the newest multitude of approaches for midurethral synthetic slings. The synthetic slings include retropubic, transobturator, and the newest additions which include the so-called single-incision slings. The aims of this chapter include the evaluation and management of SUI and review each of the surgical techniques currently available to pelvic floor surgeons.

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Authors and Affiliations

  1. University of California-Irvine School of Medicine, Irvine, CA, USA

    Kai-Wen Chuang

  2. System Director FPMRS, Associate Professor of Urology, The Smith Institute for Urology, Zucker School of Medicine at Hofstra/Northwell, Lake Success, NY, USA

    Farzeen Firoozi

Authors
  1. Kai-Wen Chuang
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  2. Farzeen Firoozi
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Correspondence to Farzeen Firoozi .

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Editors and Affiliations

  1. System Director FPMRS, Associate Professor of Urology, The Smith Institute for Urology, Zucker School of Medicine at Hofstra/Northwell, Lake Success, NY, USA

    Farzeen Firoozi

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Chuang, KW., Firoozi, F. (2020). The Surgical Management of Stress Urinary Incontinence. In: Firoozi, F. (eds) Female Pelvic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28319-3_3

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  • DOI: https://doi.org/10.1007/978-3-030-28319-3_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28318-6

  • Online ISBN: 978-3-030-28319-3

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