Treatment of stress urinary incontinence in women

Female stress urinary incontinence (SUI) is a common condition that women are generally reluctant to talk about due to traditional beliefs. Some data show that the incidence of female stress urinary incontinence in Beijing is as high as 46.9%, and the incidence increases with age. It seriously affects the quality of life of women, especially middle-aged and elderly women. So, what is stress incontinence? Simply put, it refers to the phenomenon of involuntary outflow of urine when coughing, sneezing, laughing or some exercises, such as jumping rope, going up and down the stairs and so on, lead to an increase in abdominal pressure. Although there are many causes of SUI, it is ultimately caused by the shorter urethra, loose pelvic tissues, and decreased ability of the urethral mucosa to close in women, which leads to the outflow of urine that cannot be controlled when the increase in abdominal pressure exceeds the urethral closure pressure. Currently, there are three main types of treatment for stress incontinence: including pelvic floor exercises, medication, and surgery. Open retropubic urethral suspension used to be the most widely used surgical procedure for treating SUI. With the development of medical technology, especially minimally invasive technology, laparoscopic retropubic urethral suspension and various sling surgeries nowadays make the patient less traumatized and recover faster, especially sling surgeries which can be successfully completed in half an hour. Stress incontinence is treatable at any age. Depending on the patient’s morbidity, different surgical methods can be chosen to achieve the best treatment results, so as to resume normal life and social activities.