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Stress urinary incontinence

MedGen UID:
22580
•Concept ID:
C0042025
•
Disease or Syndrome
Synonyms: Incontinence, Urinary Stress; Stress Incontinence, Urinary; Urinary Incontinence, Stress; Urinary Stress Incontinence
SNOMED CT: Stress urinary incontinence (22220005); Stress bladder incontinence (22220005); Incontinence when straining (22220005); SI - Stress incontinence (22220005); Urinary stress incontinence (22220005); GSI - Genuine stress incontinence (22220005); Genuine stress incontinence (22220005)
 
HPO: HP:0010992

Definition

Involuntary urine leakage synchronous with exertion, or actions such as sneezing, or coughing. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Stress urinary incontinence

Professional guidelines

PubMed

European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence.
Nambiar AK, Arlandis S, Bø K, Cobussen-Boekhorst H, Costantini E, de Heide M, Farag F, Groen J, Karavitakis M, Lapitan MC, Manso M, Arteaga SM, Riogh ANA, O'Connor E, Omar MI, Peyronnet B, Phé V, Sakalis VI, Sihra N, Tzelves L, van Poelgeest-Pomfret ML, van den Bos TWL, van der Vaart H, Harding CK
Eur Urol 2022 Jul;82(1):49-59. Epub 2022 Feb 23 doi: 10.1016/j.eururo.2022.01.045. PMID: 35216856
Prevalence and Treatment of Postpartum Stress Urinary Incontinence: A Systematic Review.
Gonzales AL, Barnes KL, Qualls CR, Jeppson PC
Female Pelvic Med Reconstr Surg 2021 Jan 1;27(1):e139-e145. doi: 10.1097/SPV.0000000000000866. PMID: 32282522
Management of female stress urinary incontinence: A care pathway and update.
Capobianco G, Madonia M, Morelli S, Dessole F, De Vita D, Cherchi PL, Dessole S
Maturitas 2018 Mar;109:32-38. Epub 2017 Dec 9 doi: 10.1016/j.maturitas.2017.12.008. PMID: 29452779

Recent clinical studies

Etiology

The Anatomical Pathogenesis of Stress Urinary Incontinence in Women.
Yang X, Wang X, Gao Z, Li L, Lin H, Wang H, Zhou H, Tian D, Zhang Q, Shen J
Medicina (Kaunas) 2022 Dec 20;59(1) doi: 10.3390/medicina59010005. PMID: 36676629Free PMC Article
The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis.
Falah-Hassani K, Reeves J, Shiri R, Hickling D, McLean L
Int Urogynecol J 2021 Mar;32(3):501-552. Epub 2021 Jan 8 doi: 10.1007/s00192-020-04622-9. PMID: 33416968Free PMC Article
Effect of app-based audio guidance pelvic floor muscle training on treatment of stress urinary incontinence in primiparas: A randomized controlled trial.
Wang X, Xu X, Luo J, Chen Z, Feng S
Int J Nurs Stud 2020 Apr;104:103527. Epub 2020 Jan 21 doi: 10.1016/j.ijnurstu.2020.103527. PMID: 32058140
Obesity and Stress Urinary Incontinence: Impact on Pathophysiology and Treatment.
Fuselier A, Hanberry J, Margaret Lovin J, Gomelsky A
Curr Urol Rep 2018 Feb 22;19(1):10. doi: 10.1007/s11934-018-0762-7. PMID: 29468457
Stress urinary incontinence.
Nygaard IE, Heit M
Obstet Gynecol 2004 Sep;104(3):607-20. doi: 10.1097/01.AOG.0000137874.84862.94. PMID: 15339776

Diagnosis

Updates to Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline (2023).
Kobashi KC, Vasavada S, Bloschichak A, Hermanson L, Kaczmarek J, Kim SK, Kirkby E, Malik R
J Urol 2023 Jun;209(6):1091-1098. Epub 2023 Apr 25 doi: 10.1097/JU.0000000000003435. PMID: 37096580
Stress Incontinence in Women.
Wu JM
N Engl J Med 2021 Jun 24;384(25):2428-2436. doi: 10.1056/NEJMcp1914037. PMID: 34161707
Guideline of guidelines: urinary incontinence in women.
Sussman RD, Syan R, Brucker BM
BJU Int 2020 May;125(5):638-655. Epub 2020 Mar 8 doi: 10.1111/bju.14927. PMID: 31625673
Female Voiding Dysfunction and Urinary Incontinence.
Vo A, Kielb SJ
Med Clin North Am 2018 Mar;102(2):313-324. Epub 2017 Dec 20 doi: 10.1016/j.mcna.2017.10.006. PMID: 29406060
Diagnosis and surgical treatment of stress urinary incontinence.
Garely AD, Noor N
Obstet Gynecol 2014 Nov;124(5):1011-1027. doi: 10.1097/AOG.0000000000000514. PMID: 25437731

Therapy

Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic review.
Malinauskas AP, Bressan EFM, de Melo AMZRP, Brasil CA, Lordêlo P, Torelli L
Arch Gynecol Obstet 2023 Jul;308(1):13-24. Epub 2022 Jul 13 doi: 10.1007/s00404-022-06693-z. PMID: 35831758
Effect of Pelvic Floor and Hip Muscle Strengthening in the Treatment of Stress Urinary Incontinence: A Randomized Clinical Trial.
Marques SAA, Silveira SRBD, Pássaro AC, Haddad JM, Baracat EC, Ferreira EAG
J Manipulative Physiol Ther 2020 Mar-Apr;43(3):247-256. Epub 2020 Jul 21 doi: 10.1016/j.jmpt.2019.01.007. PMID: 32703614
Surgery for women with pelvic organ prolapse with or without stress urinary incontinence.
Baessler K, Christmann-Schmid C, Maher C, Haya N, Crawford TJ, Brown J
Cochrane Database Syst Rev 2018 Aug 19;8(8):CD013108. doi: 10.1002/14651858.CD013108. PMID: 30121956Free PMC Article
Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial.
Liu Z, Liu Y, Xu H, He L, Chen Y, Fu L, Li N, Lu Y, Su T, Sun J, Wang J, Yue Z, Zhang W, Zhao J, Zhou Z, Wu J, Zhou K, Ai Y, Zhou J, Pang R, Wang Y, Qin Z, Yan S, Li H, Luo L, Liu B
JAMA 2017 Jun 27;317(24):2493-2501. doi: 10.1001/jama.2017.7220. PMID: 28655016Free PMC Article
Surgical management of pelvic organ prolapse in women.
Maher C, Feiner B, Baessler K, Schmid C
Cochrane Database Syst Rev 2013 Apr 30;(4):CD004014. doi: 10.1002/14651858.CD004014.pub5. PMID: 23633316

Prognosis

Stress urinary incontinence after hysterectomy: a 10-year national follow-up study.
Tulokas S, Mentula M, Härkki P, Brummer T, Jalkanen J, Kuittinen T, Mäkinen J, Sjöberg J, Tomas E, Rahkola-Soisalo P
Arch Gynecol Obstet 2022 Apr;305(4):1089-1097. Epub 2022 Jan 21 doi: 10.1007/s00404-021-06378-z. PMID: 35061067Free PMC Article
Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis.
Moossdorff-Steinhauser HFA, Berghmans BCM, Spaanderman MEA, Bols EMJ
Int Urogynecol J 2021 Jul;32(7):1633-1652. Epub 2021 Jan 13 doi: 10.1007/s00192-020-04636-3. PMID: 33439277Free PMC Article
Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial.
Liu Z, Liu Y, Xu H, He L, Chen Y, Fu L, Li N, Lu Y, Su T, Sun J, Wang J, Yue Z, Zhang W, Zhao J, Zhou Z, Wu J, Zhou K, Ai Y, Zhou J, Pang R, Wang Y, Qin Z, Yan S, Li H, Luo L, Liu B
JAMA 2017 Jun 27;317(24):2493-2501. doi: 10.1001/jama.2017.7220. PMID: 28655016Free PMC Article
Post-Sling Urinary Retention in Women.
Malacarne DR, Nitti VW
Curr Urol Rep 2016 Nov;17(11):83. doi: 10.1007/s11934-016-0639-6. PMID: 27678391
Stress Urinary Incontinence.
McGuire EJ, Lytton B, Pepe V, Kohorn EI
Obstet Gynecol 1976 Mar;47(3):255-64. PMID: 943076

Clinical prediction guides

Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic review.
Malinauskas AP, Bressan EFM, de Melo AMZRP, Brasil CA, Lordêlo P, Torelli L
Arch Gynecol Obstet 2023 Jul;308(1):13-24. Epub 2022 Jul 13 doi: 10.1007/s00404-022-06693-z. PMID: 35831758
Pixel-CO(2) laser for the treatment of stress urinary incontinence.
Nalewczynska AA, Barwijuk M, Kolczewski P, Dmoch-Gajzlerska E
Lasers Med Sci 2022 Mar;37(2):1061-1067. Epub 2021 Aug 12 doi: 10.1007/s10103-021-03353-7. PMID: 34382127Free PMC Article
Male stress urinary incontinence is often underreported.
Wolfe AR, Khouri RK Jr, Bhanvadia RR, Dropkin BM, Joice GA, Sanders SC, Hudak SJ, Morey AF
Can J Urol 2021 Apr;28(2):10589-10594. PMID: 33872555
Osteoporosis and Stress Urinary Incontinence in Women: A National Health Insurance Database Study.
Wei MC, Chou YH, Yang YS, Kornelius E, Wang YH, Huang CN
Int J Environ Res Public Health 2020 Jun 21;17(12) doi: 10.3390/ijerph17124449. PMID: 32575826Free PMC Article
Management of stress urinary incontinence using vaginal incontinence pessaries in rural Kilimanjaro, Tanzania.
Shayo BC, Mwakanyamale DJ, Masenga GG, Rasch V
Int Urogynecol J 2020 Jun;31(6):1091-1097. Epub 2019 May 29 doi: 10.1007/s00192-019-03980-3. PMID: 31143980

Recent systematic reviews

Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews.
Todhunter-Brown A, Hazelton C, Campbell P, Elders A, Hagen S, McClurg D
Cochrane Database Syst Rev 2022 Sep 2;9(9):CD012337. doi: 10.1002/14651858.CD012337.pub2. PMID: 36053030Free PMC Article
Pelvic Floor Muscle Training for Urinary Incontinence with or without Biofeedback or Electrostimulation in Women: A Systematic Review.
Alouini S, Memic S, Couillandre A
Int J Environ Res Public Health 2022 Feb 27;19(5) doi: 10.3390/ijerph19052789. PMID: 35270480Free PMC Article
European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence.
Nambiar AK, Arlandis S, Bø K, Cobussen-Boekhorst H, Costantini E, de Heide M, Farag F, Groen J, Karavitakis M, Lapitan MC, Manso M, Arteaga SM, Riogh ANA, O'Connor E, Omar MI, Peyronnet B, Phé V, Sakalis VI, Sihra N, Tzelves L, van Poelgeest-Pomfret ML, van den Bos TWL, van der Vaart H, Harding CK
Eur Urol 2022 Jul;82(1):49-59. Epub 2022 Feb 23 doi: 10.1016/j.eururo.2022.01.045. PMID: 35216856
The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis.
Falah-Hassani K, Reeves J, Shiri R, Hickling D, McLean L
Int Urogynecol J 2021 Mar;32(3):501-552. Epub 2021 Jan 8 doi: 10.1007/s00192-020-04622-9. PMID: 33416968Free PMC Article
What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis.
García-Sánchez E, Ávila-Gandía V, López-Román J, Martínez-Rodríguez A, Rubio-Arias JÁ
Int J Environ Res Public Health 2019 Nov 8;16(22) doi: 10.3390/ijerph16224358. PMID: 31717291Free PMC Article

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