What are the indications for surgical treatment of female stress urinary incontinence

  The main indications for surgical treatment include: 1, non-surgical treatment is not effective or can not be adhered to, can not tolerate, the expected results are not good; 2, moderate to severe stress urinary incontinence, seriously affecting the quality of life; 3, quality of life requirements of patients; 4, accompanied by pelvic organ prolapse and other pelvic floor functional lesions need to perform pelvic floor reconstruction, anti-stress incontinence surgery should be performed at the same time.  Before performing surgical treatment, attention should be paid to: 1. Consult the patient and family’s wishes and make a choice based on adequate communication; 2. Pay attention to the assessment of bladder-urethral function, and perform urodynamic examination if necessary; 3. Select the surgical procedure according to the patient’s specific situation. Consider the efficacy, complications and cost of surgery, and try to choose a less invasive procedure; 4, try to take into account the classification and typing of urinary incontinence; 5, special cases should be handled by the camera, such as multiple surgeries or pelvic fixation due to urinary extravasation, the bladder neck and posterior urethra should be fully released before anti-incontinence surgery; for type III ISI) patients without significant movement of the urethra, the first choice of procedure is trans For patients with type III ISI without significant urethral movement, the first choice of procedure is transurethral injection, followed by artificial urethral sphincter and mid-urethral sling.