Choice of surgery for stress incontinence.
OBJECTIVE
To outline the evidence for the efficacy of surgical procedures used for the primary treatment of urinary incontinence.


METHODS
The range of surgical options available for the primary treatment of urinary incontinence in women.


RESULTS
The best possible outcomes for women undergoing primary surgery for urinary incontinence. To provide a current understanding of the evidence available as the basis of an informed discussion of the anticipated outcome of surgery.


METHODS
A systematic review of clinical trials of the outcomes of primary surgical treatment of urinary incontinence.


METHODS
The quality of the evidence is rated using the criteria described by the Canadian Task Force on periodic health examination (Table).


RESULTS
Careful consideration of the surgical options available will result in informed choice, which is essential to the process of determining the most appropriate surgery for a woman. Use of a range of surgeries that have the highest proven efficacy is most likely to result in long-term patient satisfaction.
Robert
Magali
M
Farrell
Scott A
SA