Management of recurrent genuine stress incontinence.
Recurrent stress incontinence is frequently a result of incomplete preoperative evaluation. Evaluation of surgical failures must include an assessment of urethral sphincter function by endoscopy, UCPP, or video-urodynamics. Patients with GSI and a mobile urethovesical junction and normal urethral closure pressure should be corrected by a Burch sling or MMK. Patients with low urethral closure pressure and normal or borderline UVJ mobility should have a suburethral sling procedure. Patients with a nonfunctioning urethral sphincter respond best to an artificial urinary sphincter.
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University of California-Irvine, Orange.
D005260:Female; D006801:Humans; D008722:Methods; D012008:Recurrence; D014521:Urethra / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000628:therapy*