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Female stress incontinence

MedGen UID:
21346
•Concept ID:
C0038437
•
Disease or Syndrome
Synonyms: Female Stress Incontinence; female stress incontinence; Female urinary stress incontinence; female urinary stress incontinence; stress incontinence - female
SNOMED CT: Female stress incontinence (60241006); Female urinary stress incontinence (60241006)
 
Monarch Initiative: MONDO:0004160

Definition

The involuntary loss of urine in females secondary to insufficient strength of the pelvic floor muscles; this can result from physical changes following pregnancy and childbirth, or as a response to a decrease in estrogen during menopause. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFemale stress incontinence

Professional guidelines

PubMed

Holmium:YAG Laser Ablation for the Management of Lower Urinary Tract Foreign Bodies Following Incontinence Surgery: A Case Series and Systematic Review.
Chan G, Mamut A, Martin P, Welk B
J Endourol 2016 Nov;30(11):1252-1261. Epub 2016 Oct 6 doi: 10.1089/end.2016.0557. PMID: 27604964
Update of AUA guideline on the surgical management of female stress urinary incontinence.
Dmochowski RR, Blaivas JM, Gormley EA, Juma S, Karram MM, Lightner DJ, Luber KM, Rovner ES, Staskin DR, Winters JC, Appell RA; Female Stress Urinary Incontinence Update Panel of the American Urological Association Education and Research, Inc, Whetter LE
J Urol 2010 May;183(5):1906-14. Epub 2010 Mar 29 doi: 10.1016/j.juro.2010.02.2369. PMID: 20303102
Clinical value of vaginal cones for the management of female stress incontinence.
Kato K, Kondo A
Int Urogynecol J Pelvic Floor Dysfunct 1997;8(5):314-7. doi: 10.1007/BF02765492. PMID: 9557998

Recent clinical studies

Etiology

Artificial urinary sphincter surgery in the special populations: neurological, revision, concurrent penile prosthesis and female stress urinary incontinence groups.
Chung E
Asian J Androl 2020 Jan-Feb;22(1):45-50. doi: 10.4103/aja.aja_128_19. PMID: 31793444Free PMC Article
Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence.
Wang S, Lv J, Feng X, Wang G, Lv T
Urology 2016 May;91:64-9. Epub 2016 Feb 24 doi: 10.1016/j.urology.2016.02.027. PMID: 26921645
Trends in reoperation for female stress urinary incontinence: A nationwide study.
Wu MP, Long CY, Liang CC, Weng SF, Tong YC
Neurourol Urodyn 2015 Sep;34(7):693-8. Epub 2014 Jul 27 doi: 10.1002/nau.22648. PMID: 25067811
Outlet obstruction after sling surgery.
Tse V, Chan L
BJU Int 2011 Nov;108 Suppl 2:24-8. doi: 10.1111/j.1464-410X.2011.10712.x. PMID: 22085122
Autologous myoblasts and fibroblasts for female stress incontinence: a 1-year follow-up in 123 patients.
Mitterberger M, Marksteiner R, Margreiter E, Pinggera GM, Colleselli D, Frauscher F, Ulmer H, Fussenegger M, Bartsch G, Strasser H
BJU Int 2007 Nov;100(5):1081-5. Epub 2007 Aug 30 doi: 10.1111/j.1464-410X.2007.07119.x. PMID: 17760890

Diagnosis

Trends in reoperation for female stress urinary incontinence: A nationwide study.
Wu MP, Long CY, Liang CC, Weng SF, Tong YC
Neurourol Urodyn 2015 Sep;34(7):693-8. Epub 2014 Jul 27 doi: 10.1002/nau.22648. PMID: 25067811
Outlet obstruction after sling surgery.
Tse V, Chan L
BJU Int 2011 Nov;108 Suppl 2:24-8. doi: 10.1111/j.1464-410X.2011.10712.x. PMID: 22085122
Urodynamics in the management of female stress incontinence--which test and when?
Patel AK, Chapple CR
Curr Opin Urol 2008 Jul;18(4):359-64. doi: 10.1097/MOU.0b013e3283023c0e. PMID: 18520755
Injectable collagen for type 3 female stress incontinence: the first 50 Australian patients.
Stricker P, Haylen B
Med J Aust 1993 Jan 18;158(2):89-91. doi: 10.5694/j.1326-5377.1993.tb137530.x. PMID: 8419782
Advances in therapy of female stress incontinence.
Klutke CG
Henry Ford Hosp Med J 1992;40(1-2):118-21. PMID: 1428962

Therapy

Pelvic Floor Muscle Training for Urinary Incontinence After Radical Prostatectomy: A Narrative Review.
Giraudo D, Lamberti G, Ciardi G
Urologia 2023 Aug;90(3):445-453. Epub 2023 Apr 1 doi: 10.1177/03915603231166729. PMID: 37002838
Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence.
Wang S, Lv J, Feng X, Wang G, Lv T
Urology 2016 May;91:64-9. Epub 2016 Feb 24 doi: 10.1016/j.urology.2016.02.027. PMID: 26921645
Outlet obstruction after sling surgery.
Tse V, Chan L
BJU Int 2011 Nov;108 Suppl 2:24-8. doi: 10.1111/j.1464-410X.2011.10712.x. PMID: 22085122
Urethral injections for female stress incontinence.
Appell RA, Dmochowski RR, Herschorn S
BJU Int 2006 Sep;98 Suppl 1:27-30; discussion 31. doi: 10.1111/j.1464-410X.2006.06305.x. PMID: 16911598
The contemporary role of Burch colposuspension.
Green J, Herschorn S
Curr Opin Urol 2005 Jul;15(4):250-5. doi: 10.1097/01.mou.0000172398.39396.d5. PMID: 15928514

Prognosis

The TRT Female Remeex System ® for recurrent female stress urinary incontinence: a 5-year follow-up study.
Barrington J, Archer R, Kulkarni M, Forrest A
J Obstet Gynaecol 2013 May;33(4):391-3. doi: 10.3109/01443615.2013.769941. PMID: 23654323
Urodynamics in the management of female stress incontinence--which test and when?
Patel AK, Chapple CR
Curr Opin Urol 2008 Jul;18(4):359-64. doi: 10.1097/MOU.0b013e3283023c0e. PMID: 18520755
Autologous myoblasts and fibroblasts for female stress incontinence: a 1-year follow-up in 123 patients.
Mitterberger M, Marksteiner R, Margreiter E, Pinggera GM, Colleselli D, Frauscher F, Ulmer H, Fussenegger M, Bartsch G, Strasser H
BJU Int 2007 Nov;100(5):1081-5. Epub 2007 Aug 30 doi: 10.1111/j.1464-410X.2007.07119.x. PMID: 17760890
Clinical value of vaginal cones for the management of female stress incontinence.
Kato K, Kondo A
Int Urogynecol J Pelvic Floor Dysfunct 1997;8(5):314-7. doi: 10.1007/BF02765492. PMID: 9557998
Injectable collagen for type 3 female stress incontinence: the first 50 Australian patients.
Stricker P, Haylen B
Med J Aust 1993 Jan 18;158(2):89-91. doi: 10.5694/j.1326-5377.1993.tb137530.x. PMID: 8419782

Clinical prediction guides

Holmium:YAG Laser Ablation for the Management of Lower Urinary Tract Foreign Bodies Following Incontinence Surgery: A Case Series and Systematic Review.
Chan G, Mamut A, Martin P, Welk B
J Endourol 2016 Nov;30(11):1252-1261. Epub 2016 Oct 6 doi: 10.1089/end.2016.0557. PMID: 27604964
Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence.
Wang S, Lv J, Feng X, Wang G, Lv T
Urology 2016 May;91:64-9. Epub 2016 Feb 24 doi: 10.1016/j.urology.2016.02.027. PMID: 26921645
Urodynamics in the management of female stress incontinence--which test and when?
Patel AK, Chapple CR
Curr Opin Urol 2008 Jul;18(4):359-64. doi: 10.1097/MOU.0b013e3283023c0e. PMID: 18520755
Autologous myoblasts and fibroblasts for female stress incontinence: a 1-year follow-up in 123 patients.
Mitterberger M, Marksteiner R, Margreiter E, Pinggera GM, Colleselli D, Frauscher F, Ulmer H, Fussenegger M, Bartsch G, Strasser H
BJU Int 2007 Nov;100(5):1081-5. Epub 2007 Aug 30 doi: 10.1111/j.1464-410X.2007.07119.x. PMID: 17760890
Clinical value of vaginal cones for the management of female stress incontinence.
Kato K, Kondo A
Int Urogynecol J Pelvic Floor Dysfunct 1997;8(5):314-7. doi: 10.1007/BF02765492. PMID: 9557998

Recent systematic reviews

Biomarkers Implicated in Lower Urinary Tract Symptoms: Systematic Review and Pathway Analyses.
Siddiqui NY, Helfand BT, Andreev VP, Kowalski JT, Bradley MS, Lai HH, Berger MB, Mueller MG, Bickhaus JA, Packiam VT, Fenner D, Gillispie BW, Kirkali Z; Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)
J Urol 2019 Nov;202(5):880-889. Epub 2019 Oct 9 doi: 10.1097/JU.0000000000000257. PMID: 30925127Free PMC Article
Holmium:YAG Laser Ablation for the Management of Lower Urinary Tract Foreign Bodies Following Incontinence Surgery: A Case Series and Systematic Review.
Chan G, Mamut A, Martin P, Welk B
J Endourol 2016 Nov;30(11):1252-1261. Epub 2016 Oct 6 doi: 10.1089/end.2016.0557. PMID: 27604964

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