[Decisional tree for treating non-neurological urinary incontinence in women].
The physiopathology of urinary incontinence in women is complex. It must be thoroughly understood to orient the therapeutic choices available to patients. In urge incontinence, the initial management is above all conservatory, based on medical treatments and rehabilitation. In stress urinary incontinence, the quality of the urethra guides the indications for support techniques, with suburethral slings taking the lead and a preference for the retropubic approach in cases of sphincter deficiency with mobility of the urethrovesical junction preserved. In mixed urinary incontinence, the choices are always difficult and generally one begins with treating the component that is the most uncomfortable for the patient. Whatever choice is made, one must be aware that the first treatment often influences future treatments.
Ballanger
Ph
P
Service d'Urologie, Hôpital Pellegrin, place Amélie Raba Léon, 33076 Bordeaux cedex, France. philippe.ballanger@CHU-bordeaux.fr
D003663:Decision Trees; D005260:Female; D006801:Humans; D014549:Urinary Incontinence / Q000628:therapy*