[Surgical treatment of the female stress urinary incontinence - from needles to mini-slings]

Abstract

Objective: Stress urinary incontinence (SUI) is a clinical problem affecting a large part of female population, its incidence increases with age. Aim of this article is to show the spectrum of surgical procedures which are used to treat SUI, their advantages and limits, and define suitable patients.

Design: Review article.

Setting: Department of Gynecology and Obstetrics LF OU and University Hospital Ostrava; Department of Gynecology and Obstetrics LF MU and University Hospital Brno.

Methods: Systematic literature review using keywords and Medline database with detailed survey results analysis - full-text papers or abstracts published in years 1966-2016.

Results: Historical and recent methods of SUI testament are summarized including its effectiveness and complications focused mainly on techniques developed in the last two decades.

Conclusion: There is a wide spectrum of surgical techniques available for SUI treatment for women and in last twenty years the procedures improved significantly regarding its effectiveness and complication rate. This paper review and summarize these methods, its efficacy, recent indications, advantages and limits. Although none of those techniques is perfect, patients treated by experienced surgeons have significant chance in quality of live improvement.

Keywords: stress urinary incontinence; surgical treatment; tape procedures bulking agents..