title: Surgical treatment of stress urinary incontinence.
abstract: The treatment of stress urinary incontinence (SUI) is one of more controversial aspects of pelvic floor surgery. The indications for the surgical approach are related to the international classification as: Type 1 and Type 2 (Anatomical Incontinence), and Type 3 urinary incontinence (Intrinsic Sphincteric Dysfunction). The procedure of choice for Type 1 and Type 2 is Bladder Neck Suspension (BNS) that create a strong hammock against which the urethra can be compressed with sudden changes of abdominal pressure. Type 3 has to be treated by coaptation or compression of the deficient sphinteric unit (slings or injections). The mean cure rate after Marshall-Marchetti-Krantz is 77%, that of the Burch is 81%, and that of the Needle Suspension is 79%. Laparoscopy, Bone Anchors BNS and Tension-Free Vaginal Tape represent a promising option to the traditional techniques. The contribution of minimal invasive surgery consisting in: short recovery or possibility of day surgery, reduced trauma and pain, and success rate similar to the conventional techniques, is changing the SUI treatment.
authors.affiliation: Uro-Gynecologic Unit, S. Carlo di Nancy Hospital, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Cervigni
authors.forename: F
authors.initials: F
authors.lastname: Natale
mesh_terms: D005260:Female; D006801:Humans; D013514:Surgical Procedures, Operative; D014521:Urethra / Q000502:physiology; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000145:classification / Q000601:surgery*