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An overview of surgical interventions for the treatment of urinary incontinence

Published online by Cambridge University Press:  24 February 2011

T Maguire ,
DG Tincello  and
A Mistri
T Maguire
Affiliation:
Leicester Royal Infirmary, UK
DG Tincello
Affiliation:
Leicester Royal Infirmary, UK University of Leicester, UK
A Mistri*
Affiliation:
Leicester Royal Infirmary, UK University of Leicester, UK
*
Address for correspondence: Dr AK Mistri, Senior Lecturer, Department of Cardiovascular Sciences, Robert Kilpatrick Clinical Sciences Building, University of Leicester, Leicester Royal Infirmary, PO Box 65, Leicester LE2 7LX.
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Summary

Urinary incontinence remains a topic that both patients and clinicians find difficult to discuss and manage. Following the NICE guidance published in 2006, a well-defined structure for the management of urinary problems was outlined. Conservative measures are the mainstay for all patients, with anticholinergic drugs playing a major role in the management of over-active bladder and urge incontinence.

Surgical management is an area that continues to grow and develop. The types of procedures offered to patients have changed dramatically in the last 10–15 years, with the advent of tension-free vaginal tapes and more recently the use of botulinum toxin. It is important that health professionals encountering patients with incontinence are aware of the common urological/gynaecological operations available, the place of surgical options in the overall pathway, and the benefits as well as the risks associated with continence surgery. This article provides the non-specialist with an overview of the available surgical options for management of continence.

Keywords

urinary incontinenceurologysurgerysurgical proceduresvaginal tapecolposuspensionbotulinum toxin
Type
Clinical geriatrics
Information
Reviews in Clinical Gerontology , Volume 21 , Issue 3 , August 2011 , pp. 246 - 255
Copyright
Copyright © Cambridge University Press 2011

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