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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
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
Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment.
Sangsawang B, Sangsawang N
Int Urogynecol J 2013 Jun;24(6):901-12. Epub 2013 Feb 23 doi: 10.1007/s00192-013-2061-7. PMID: 23436035Free PMC Article

Recent clinical studies

Etiology

Pelvic floor training to prevent stress urinary incontinence: A systematic review.
Mantilla Toloza SC, Villareal Cogollo AF, Peña García KM
Actas Urol Esp (Engl Ed) 2024 May;48(4):319-327. Epub 2024 Mar 29 doi: 10.1016/j.acuroe.2024.01.007. PMID: 38556125
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
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

Evaluation and Management of Female Stress Urinary Incontinence.
Jefferson FA, Linder BJ
Mayo Clin Proc 2024 Nov;99(11):1802-1814. Epub 2024 Oct 10 doi: 10.1016/j.mayocp.2024.07.003. PMID: 39387798
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
Stress urinary incontinence--1970.
Hodgkinson CP
Am J Obstet Gynecol 1970 Dec 1;108(7):1141-68. doi: 10.1016/0002-9378(70)90467-9. PMID: 4920964

Therapy

Pelvic floor training to prevent stress urinary incontinence: A systematic review.
Mantilla Toloza SC, Villareal Cogollo AF, Peña García KM
Actas Urol Esp (Engl Ed) 2024 May;48(4):319-327. Epub 2024 Mar 29 doi: 10.1016/j.acuroe.2024.01.007. PMID: 38556125
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

Prognosis

Incidence and risk factors of stress urinary incontinence after laparoscopic hysterectomy.
Qian X, Ren D, Gu L, Ye C
BMC Womens Health 2024 Feb 8;24(1):105. doi: 10.1186/s12905-024-02942-2. PMID: 38331777Free PMC Article
Does the climacteric influence the prevalence, incidence and type of urinary incontinence?
Milsom I, Gyhagen M
Climacteric 2023 Apr;26(2):75-79. Epub 2023 Jan 23 doi: 10.1080/13697137.2022.2158730. PMID: 36690015
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

Clinical prediction guides

Correlation between the female pelvic floor biomechanical parameters and the severity of stress urinary incontinence.
Koroknai E, Rátonyi D, Pákozdy K, Sipos AG, Krasznai Z, Takacs P, Kozma B
BMC Urol 2023 Nov 30;23(1):198. doi: 10.1186/s12894-023-01375-7. PMID: 38036996Free PMC Article
A randomized trial comparing vaginal laser therapy and pelvic floor physical therapy for treating women with stress urinary incontinence.
da Fonseca LC, Giarreta FBA, Peterson TV, Locali PKM, Baracat EC, Ferreira EAG, Haddad JM
Neurourol Urodyn 2023 Sep;42(7):1445-1454. Epub 2023 Jul 14 doi: 10.1002/nau.25244. PMID: 37449372
Long-term efficacy of the pelvic floor muscle rehabilitation for women with stress urinary incontinence.
Zhang X, Zhong W, Yan W, Li X, Wang Z, Jiang L, Zhang H
Zhong Nan Da Xue Xue Bao Yi Xue Ban 2023 Mar 28;48(3):414-421. doi: 10.11817/j.issn.1672-7347.2023.220401. PMID: 37164925Free PMC Article
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
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

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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