title: What is the best surgical intervention for stress urinary incontinence in the very young and very old? An International Consultation on Incontinence Research Society update.
abstract: An increasing number of continence procedures are being performed in women of all ages. An overview of the existing literature and consensus regarding surgery for stress urinary incontinence (SUI) in the young and the old was presented and discussed at the International Consultation on Incontinence Research Society Think Tank. This manuscript reflects the Think Tank's summary and opinion. Despite the increasing number of continence procedures, there are relatively few data to guide management in the very young and the very old. When considering continence surgery in the young, long-term efficacy and safety are paramount, and the future effects of pregnancy and childbirth need to be carefully considered. Conversely, in the elderly, minimally invasive procedures with low morbidity are important, especially in the frail elderly who may have significant co-morbidities. Further research including prospective randomised trials, cohort studies and national registries, should help guide our management in these two challenging groups of patients.
authors.affiliation: Department of Urogynaecology, Kings College Hospital, Denmark Hill, London, SE5 9RS, UK. dudley.robinson@nhs.net.
authors.forename: Dudley
authors.initials: D
authors.lastname: Robinson
authors.affiliation: Department of Urology, Hospital Universitario de Canarias Universidad de La Laguna, Canary Islands, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Castro-Diaz
authors.affiliation: Department of Urogynaecology, Kings College Hospital, Denmark Hill, London, SE5 9RS, UK.
authors.forename: Ilias
authors.initials: I
authors.lastname: Giarenis
authors.affiliation: Department of Urogynaecology, Birmingham Women's Hospital, Birmingham, UK.
authors.forename: Philip
authors.initials: P
authors.lastname: Toozs-Hobson
authors.affiliation: Department of Neurourology, Rheinische Friedrich-Wilhelms-Universitaet Bonn, Bonn, Germany.
authors.forename: Ralf
authors.initials: R
authors.lastname: Anding
authors.affiliation: Department of Obstetrics and Gynaecology, Queen Alexandra Hospital, Portsmouth, UK.
authors.forename: Claire
authors.initials: C
authors.lastname: Burton
authors.affiliation: Department of Urogynaecology, Kings College Hospital, Denmark Hill, London, SE5 9RS, UK.
authors.forename: Linda
authors.initials: L
authors.lastname: Cardozo
mesh_terms: D000367:Age Factors; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: Elderly; Mid-urethral tapes; Single-incision tapes; Stress urinary incontinence; Urethral bulking agents; Young