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Practice Guideline
. 2017 Sep;39(9):e309-e314.
doi: 10.1016/j.jogc.2017.06.009.

No. 248-Guidelines for the Evaluation and Treatment of Recurrent Urinary Incontinence Following Pelvic Floor Surgery

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Practice Guideline

No. 248-Guidelines for the Evaluation and Treatment of Recurrent Urinary Incontinence Following Pelvic Floor Surgery

Danny Lovatsis et al. J Obstet Gynaecol Can. 2017 Sep.

Abstract

Objective: To provide general gynaecologists and urogynaecologists with clinical guidelines for the management of recurrent urinary incontinence after pelvic floor surgery.

Options: Evaluation includes history and physical examination, multichannel urodynamics, and possibly cystourethroscopy. Management includes conservative, pharmacological, and surgical interventions.

Outcomes: These guidelines provide a comprehensive approach to the complicated issue of recurrent incontinence that is based on the underlying pathophysiological mechanisms.

Evidence: Published opinions of experts, and evidence from clinical trials where available.

Values: The quality of the evidence is rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table).

Keywords: Urinary incontinence; recurrent; surgery.

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