eMedicine Specialties > Obstetrics and Gynecology > Prolapse and Incontinence

Urinary Incontinence, Medical and Surgical Aspects: Multimedia

Author: Michael O'Shaughnessy, MD, FACOG, Assistant Chief, Director of Urogynecology, Assistant Clinical Professor, Department of Obstetrics and Gynecology, University of California at San Francisco, UCSF Fresno University Medical Center
Contributor Information and Disclosures

Updated: Feb 9, 2007

Multimedia

Urinary incontinence. Free-flowing indigo carmine...
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Media file 1: Urinary incontinence. Free-flowing indigo carmine is observed from the ureteral orifice during intraoperative cystoscopy.
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Urinary incontinence. Free-flowing indigo carmine...

Urinary incontinence. Free-flowing indigo carmine is observed from the ureteral orifice during intraoperative cystoscopy.

Detrusor instability (DI) is demonstrated on a mu...
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Media file 2: Detrusor instability (DI) is demonstrated on a multichannel cystometrogram.
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Detrusor instability (DI) is demonstrated on a mu...

Detrusor instability (DI) is demonstrated on a multichannel cystometrogram.

Rounding of the urethra at the level of the bladd...
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Media file 3: Rounding of the urethra at the level of the bladder neck suggests detrusor instability (DI).
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Rounding of the urethra at the level of the bladd...

Rounding of the urethra at the level of the bladder neck suggests detrusor instability (DI).

A cystoscopic view of the bladder mucosa reveals ...
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Media file 4: A cystoscopic view of the bladder mucosa reveals shallow ulcerations and petechial hemorrhages—findings consistent with bacterial cystitis.
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A cystoscopic view of the bladder mucosa reveals ...

A cystoscopic view of the bladder mucosa reveals shallow ulcerations and petechial hemorrhages—findings consistent with bacterial cystitis.

A squirt of urine is observed at the peak of an i...
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Media file 5: A squirt of urine is observed at the peak of an increase in intra-abdominal pressure in a supine patient.
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A squirt of urine is observed at the peak of an i...

A squirt of urine is observed at the peak of an increase in intra-abdominal pressure in a supine patient.

A suture through the endopelvic connective tissue...
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Media file 6: A suture through the endopelvic connective tissue at the level of the mid urethra during a Burch colposuspension.
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A suture through the endopelvic connective tissue...

A suture through the endopelvic connective tissue at the level of the mid urethra during a Burch colposuspension.

Urinary incontinence. Uroflow study reveals low m...
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Media file 7: Urinary incontinence. Uroflow study reveals low maximum flow rate (11 mL/s) and prolonged flow time (1 min 18 s), suggesting outlet obstruction.
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Urinary incontinence. Uroflow study reveals low m...

Urinary incontinence. Uroflow study reveals low maximum flow rate (11 mL/s) and prolonged flow time (1 min 18 s), suggesting outlet obstruction.

Urinary incontinence. Valsalva leak point pressur...
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Media file 8: Urinary incontinence. Valsalva leak point pressure of 74 cm and 91 cm H2O above baseline.
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Urinary incontinence. Valsalva leak point pressur...

Urinary incontinence. Valsalva leak point pressure of 74 cm and 91 cm H2O above baseline.

Pale white detrusor bands are observed against a...
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Media file 9: Pale white detrusor bands are observed against a vascular mucosal background during an episode of detrusor instability (DI).
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Pale white detrusor bands are observed against a...

Pale white detrusor bands are observed against a vascular mucosal background during an episode of detrusor instability (DI).

A maximum urethral closure pressure of 66 cm H2O ...
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Media file 10: A maximum urethral closure pressure of 66 cm H2O in a young female. The patient had genuine stress incontinence (GSI) with no evidence of intrinsic sphincter deficiency (ISD).
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A maximum urethral closure pressure of 66 cm H2O ...

A maximum urethral closure pressure of 66 cm H2O in a young female. The patient had genuine stress incontinence (GSI) with no evidence of intrinsic sphincter deficiency (ISD).

More on Urinary Incontinence, Medical and Surgical Aspects

Overview: Urinary Incontinence, Medical and Surgical Aspects
Workup: Urinary Incontinence, Medical and Surgical Aspects
Treatment: Urinary Incontinence, Medical and Surgical Aspects
Follow-up: Urinary Incontinence, Medical and Surgical Aspects
Multimedia: Urinary Incontinence, Medical and Surgical Aspects
References
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References

  1. Abrams P. Urodynamic techniques. In: Urodynamics. 2nd ed. New York, NY:. Springer-Verlag Inc;1997:17-117.

  2. Alnaif B, Drutz HP. The accuracy of portable abdominal ultrasound equipment in measuring postvoid residual volume. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(4):215-8. [Medline].

  3. Amuzu BJ. Nonsurgical therapies for urinary incontinence. Clin Obstet Gynecol. Sep 1998;41(3):702-11. [Medline].

  4. Appell RA. Surgery for the treatment of overactive bladder. Urology. Feb 1998;51(2A Suppl):27-9. [Medline].

  5. Atala A. Future perspectives in reconstructive surgery using tissue engineering. Urol Clin North Am. Feb 1999;26(1):157-65, ix-x. [Medline].

  6. Athanasiou S, Khullar V, Boos K, et al. Imaging the urethral sphincter with three-dimensional ultrasound. Obstet Gynecol. Aug 1999;94(2):295-301. [Medline].

  7. Badlani GH, Ravalli R, Moskowitz MO. A tool for the objective assessment of passive incontinence. Contemporary Urology. 1993;1-4.

  8. Belloli G, Campobasso P, Mercurella A. Neuropathic urinary incontinence in pediatric patients: management with artificial sphincter. J Pediatr Surg. Nov 1992;27(11):1461-4. [Medline].

  9. Bennett JK, Green BG, Foote JE, Gray M. Collagen injections for intrinsic sphincter deficiency in the neuropathic urethra. Paraplegia. Dec 1995;33(12):697-700. [Medline].

  10. Benson MC, Olsson CA. Continent urinary diversion. Urol Clin North Am. Feb 1999;26(1):125-47, ix. [Medline].

  11. Bent AE, McLennan MT. Surgical management of urinary incontinence. Obstet Gynecol Clin North Am. Dec 1998;25(4):883-906. [Medline].

  12. Bent AE. Periurethral collagen injections. In: Gershenson D, ed. Operative Techniques in Gynecologic Surgery. Vol 2. Philadelphia, Pa:. W.B. Saunders;1997:51-55.

  13. Bent AE. Selection of treatment for patients with stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(4):213-4. [Medline].

  14. Bergman A, Ballard CA, Koonings PP. Comparison of three different surgical procedures for genuine stress incontinence: prospective randomized study. Am J Obstet Gynecol. May 1989;160(5 Pt 1):1102-6. [Medline].

  15. Bergman A, Elia G. Three surgical procedures for genuine stress incontinence: five-year follow-up of a prospective randomized study. Am J Obstet Gynecol. Jul 1995;173(1):66-71. [Medline].

  16. Bergman A, Koonings PP, Ballard CA. Detrusor instability. Is the bladder the cause or the effect?. J Reprod Med. Oct 1989;34(10):834-8. [Medline].

  17. Bergman A, Stanczyk FZ, Lobo RA. The role of prostaglandins in detrusor instability. Am J Obstet Gynecol. Dec 1991;165(6 Pt 1):1833-6. [Medline].

  18. Bergman A, Koonings PP, Ballard CA. The Ball-Burch procedure for stress incontinence with low urethral pressure. J Reprod Med. Feb 1991;36(2):137-40. [Medline].

  19. Bergman J, Elia G. Effects of the menstrual cycle on urodynamic work-up: should we change our practice?. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(6):375-7. [Medline].

  20. Bidmead J, Cardozo L. Sling techniques in the treatment of genuine stress incontinence. BJOG. Feb 2000;107(2):147-56. [Medline].

  21. Brading AF. A myogenic basis for the overactive bladder. Urology. Dec 1997;50(6A Suppl):57-67; discussion 68-73. [Medline].

  22. Brandt FT, Albuquerque CD, Lorenzato FR, Amaral FJ. Perineal assessment of urethrovesical junction mobility in young continent females. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(1):18-22. [Medline].

  23. Brown K, Hilton P. Ambulatory monitoring. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(6):369-76. [Medline].

  24. Brubaker L. Suburethral sling procedures. In: Gershenson D, ed. Operative Techniques in Gynecologic Surgery. Vol 2. Philadelphia, Pa:. W.B. Saunders;1997:44-50.

  25. Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am. Dec 1998;25(4):723-46. [Medline].

  26. Bump RC, Coates KW, Cundiff GW, et al. Diagnosing intrinsic sphincteric deficiency: comparing urethral closure pressure, urethral axis, and Valsalva leak point pressures. Am J Obstet Gynecol. Aug 1997;177(2):303-10. [Medline].

  27. Burch JC. Urethrovaginal fixation to Cooper''s ligament for correction of stress incontinence, cystocele, and prolapse. Am J Obstet Gynecol. Feb 1961;81:281-90. [Medline].

  28. Butler RN, Maby JI, Montella JM, Young GP. Urinary incontinence: keys to diagnosis of the older woman.1. Geriatrics. Oct 1999;54(10):22-6, 29-30. [Medline].

  29. Cammu H, Van Nylen M, Blockeel C, et al. Who will benefit from pelvic floor muscle training for stress urinary incontinence?. Am J Obstet Gynecol. Oct 2004;191(4):1152-7. [Medline].

  30. Cardozo L, Drutz HP, Baygani SK, Bump RC. Pharmacological treatment of women awaiting surgery for stress urinary incontinence. Obstet Gynecol. Sep 2004;104(3):511-9. [Medline].

  31. Cardozo L, Hextall A, Bailey J, Boos K. Colposuspension after previous failed incontinence surgery: a prospective observational study. Br J Obstet Gynaecol. Apr 1999;106(4):340-4. [Medline].

  32. Cespedes RD, Cross CA, McGuire EJ. Modified Ingelman-Sundberg bladder denervation procedure for intractable urge incontinence. J Urol. Nov 1996;156(5):1744-7. [Medline].

  33. Chaikin DC, Blaivas JG, Rosenthal JE, Weiss JP. Results of pubovaginal sling for stress incontinence: a prospective comparison of 4 instruments for outcome analysis. J Urol. Nov 1999;162(5):1670-3. [Medline].

  34. Chaikin DC, Rosenthal J, Blaivas JG. Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. J Urol. Oct 1998;160(4):1312-6. [Medline].

  35. Chaikin DC, Groutz A, Blaivas JG. Predicting the need for anti-incontinence surgery in continent women undergoing repair of severe urogenital prolapse. J Urol. Feb 2000;163(2):531-4. [Medline].

  36. Chaliha C, Stanton SL. Complications of surgery for genuine stress incontinence. Br J Obstet Gynaecol. Dec 1999;106(12):1238-45. [Medline].

  37. Chancellor MB, de Groat WC. Intravesical capsaicin and resiniferatoxin therapy: spicing up the ways to treat the overactive bladder. J Urol. Jul 1999;162(1):3-11. [Medline].

  38. Chen AH, Horbach NS. Abdominal retropubic urethropexy procedures. In: Gershenson D, ed. Operative Techniques in Gynecologic Surgery. Vol 2. Philadelphia, Pa:. W.B. Saunders;1997:23-30.

  39. Coates KW, Shull BL. Paravaginal defect repair. In: Gershenson D, ed. Operative Techniques in Gynecologic Surgery. Vol 2. Philadelphia, Pa:. W.B. Saunders;1997:31-34.

  40. Coates KW. Physiologic evaluation of the pelvic floor. Obstet Gynecol Clin North Am. Dec 1998;25(4):805-24. [Medline].

  41. Colombo M, Milani R, Vitobello D, Maggioni A. A randomized comparison of Burch colposuspension and abdominal paravaginal defect repair for female stress urinary incontinence. Am J Obstet Gynecol. Jul 1996;175(1):78-84. [Medline].

  42. Couillard DR, Webster GD. Detrusor instability. Urol Clin North Am. Aug 1995;22(3):593-612. [Medline].

  43. Cranidis A, Nestoridis G. Bladder augmentation. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(1):33-40. [Medline].

  44. Crankson SJ, Ahmed S. Female bladder exstrophy. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(2):98-104. [Medline].

  45. Cross CA, Cespedes RD, McGuire EJ. Our experience with pubovaginal slings in patients with stress urinary incontinence. J Urol. Apr 1998;159(4):1195-8. [Medline].

  46. Cucchi A. Sequential changes in voiding dynamics related to the development of detrusor instability in women with stress urinary incontinence. Neurourol Urodyn. 1999;18(2):73-80. [Medline].

  47. Cucchi A. A possible link between stress urinary incontinence and detrusor instability in the female--urodynamic (pressure/flow) data and speculative considerations. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(1):3-8. [Medline].

  48. Cukier JM, Cortina-Borja M, Brading AF. A case-control study to examine any association between idiopathic detrusor instability and gastrointestinal tract disorder, and between irritable bowel syndrome and urinary tract disorder. Br J Urol. Jun 1997;79(6):865-78. [Medline].

  49. Cummings JM, Rodning CB. Urinary stress incontinence among obese women: review of pathophysiology therapy. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(1):41-4. [Medline].

  50. Cundiff GW, Bent AE. The contribution of urethrocystoscopy to evaluation of lower urinary tract dysfunction in women. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(6):307-11. [Medline].

  51. Cundiff GW, McLennan MT, Bent AE. Randomized trial of antibiotic prophylaxis for combined urodynamics and cystourethroscopy. Obstet Gynecol. May 1999;93(5 Pt 1):749-52. [Medline].

  52. Cundiff GW, Harris RL, Coates KW, Bump RC. Clinical predictors of urinary incontinence in women. Am J Obstet Gynecol. Aug 1997;177(2):262-6; discussion 266-7. [Medline].

  53. Dainer M, Hall CD, Choe J, Bhatia NN. The Burch procedure: a comprehensive review. Obstet Gynecol Surv. Jan 1999;54(1):49-60. [Medline].

  54. Dainer M, Hall CD, Choe J, Bhatia N. Pregnancy following incontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(6):385-90. [Medline].

  55. Das S. Laparoscopic surgery for female urinary incontinence: prudence shall prevail. JSLS. Oct-Dec 1999;3(4):273-7. [Medline].

  56. Dietz HP, Wilson PD. The influence of bladder volume on the position and mobility of the urethrovesical junction. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(1):3-6. [Medline].

  57. Dietz HP, Wilson PD. Anatomical assessment of the bladder outlet and proximal urethra using ultrasound and videocystourethrography. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(6):365-9. [Medline].

  58. Dik P, Van Gool JD, De Jong TP. Urinary continence and erectile function after bladder neck sling suspension in male patients with spinal dysraphism. BJU Int. Jun 1999;83(9):971-5. [Medline].

  59. Drutz HP, Appell RA, Gleason D, et al. Clinical efficacy and safety of tolterodine compared to oxybutynin and placebo in patients with overactive bladder. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(5):283-9. [Medline].

  60. Duckett JR, Aggarwal I, Patil A. Duloxetine treatment for women awaiting continence surgery. Int Urogynecol J Pelvic Floor Dysfunct. Nov 2006;17(6):563-5.

  61. Dumoulin C, Lemieux MC, Bourbonnais D, et al. Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial. Obstet Gynecol. Sep 2004;104(3):504-10. [Medline].

  62. Dupont MC, Albo ME, Raz S. Diagnosis of stress urinary incontinence. An overview. Urol Clin North Am. Aug 1996;23(3):407-15. [Medline].

  63. El Hemaly AK. Nocturnal enuresis: pathogenesis and treatment. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(3):129-31. [Medline].

  64. Elbadawi A. Pathology and pathophysiology of detrusor in incontinence. Urol Clin North Am. Aug 1995;22(3):499-512. [Medline].

  65. Elia G, Bergman A. Genuine stress urinary incontinence with low urethral pressure. Five- year follow-up after the Ball-Burch procedure. J Reprod Med. Jul 1995;40(7):503-6. [Medline].

  66. Elkabir JJ, Mee AD. Long-term evaluation of the Gittes procedure for urinary stress incontinence. J Urol. Apr 1998;159(4):1203-5. [Medline].

  67. Elliott DS, Barrett DM. The artificial urinary sphincter in the female: indications for use, surgical approach and results. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(6):409-15. [Medline].

  68. Elser DM, London W, Fantl JA, et al. A comparison of urethral profilometry using microtip and fiberoptic catheters. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(6):371-4. [Medline].

  69. Faerber GJ, Richardson TD. Long-term results of transurethral collagen injection in men with intrinsic sphincter deficiency. J Endourol. Aug 1997;11(4):273-7. [Medline].

  70. Faerber GJ, Belville WD, Ohl DA, Plata A. Comparison of transurethral versus periurethral collagen injection in women with intrinsic sphincter deficiency. Tech Urol. Sep 1998;4(3):124-7. [Medline].

  71. Farrell SA. Application of the concept of ''therapeutic index'' to surgery for stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(5):299-302. [Medline].

  72. Fedorkow DM, Sand PK, Retzky SS, Johnson DC. The cotton swab test. Receiver-operating characteristic curves. J Reprod Med. Jan 1995;40(1):42-6. [Medline].

  73. Fehrmann-Zumpe P, Karbe K, Blessman G. Using flavoxate as primary medication for patients suffering from urge symptomatology. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(2):91-5. [Medline].

  74. Feyereisl J, Dreher E, Haenggi W, et al. Long-term results after Burch colposuspension. Am J Obstet Gynecol. Sep 1994;171(3):647-52. [Medline].

  75. Fielding JR, Griffiths DJ, Versi E, et al. MR imaging of pelvic floor continence mechanisms in the supine and sitting positions. AJR Am J Roentgenol. Dec 1998;171(6):1607-10. [Medline].

  76. Fischer JR, Heit MH, Clark MH. Correlation of intraurethral ultrasonography and needle electromyography of the urethra. Obstet Gynecol. Jan 2000;95(1):156-9. [Medline].

  77. FitzGerald MP, Mollenhauer J, Bitterman P. Functional failure of fascia lata allografts. Am J Obstet Gynecol. Dec 1999;181(6):1339-44; discussion 1344-6. [Medline].

  78. Fulford SC, Sutton C, Bales G. The fate of the ''modern'' artificial urinary sphincter with a follow-up of more than 10 years. Br J Urol. May 1997;79(5):713-6. [Medline].

  79. Fulford SC, Flynn R, Barrington J. An assessment of the surgical outcome and urodynamic effects of the pubovaginal sling for stress incontinence and the associated urge syndrome. J Urol. Jul 1999;162(1):135-7. [Medline].

  80. Ghoniem GM, Lapeyrolerie J, Sood OP. Tulane experience with management of urinary incontinence after placement of an artificial urinary sphincter. World J Urol. 1994;12(6):333-6. [Medline].

  81. Gilmour DT, Dwyer PL, Carey MP. Lower urinary tract injury during gynecologic surgery and its detection by intraoperative cystoscopy. Obstet Gynecol. Nov 1999;94(5 Pt 2):883-9. [Medline].

  82. Gittes RF, Loughlin KR. No-incision pubovaginal suspension for stress incontinence. J Urol. Sep 1987;138(3):568-70. [Medline].

  83. Glazer HI, Romanzi L, Polaneczky M. Pelvic floor muscle surface electromyography. Reliability and clinical predictive validity. J Reprod Med. Sep 1999;44(9):779-82. [Medline].

  84. Goldman HB. Large thigh abscess after placement of synthetic transobturator sling. Int Urogynecol J Pelvic Floor Dysfunct. May 2006;17(3):295-6.

  85. Gonzalez R, Nguyen DH, Koleilat N. Compatibility of enterocystoplasty and the artificial urinary sphincter. J Urol. Aug 1989;142(2 Pt 2):502-4; discussion 520-1. [Medline].

  86. Gonzalez R, Koleilat N, Austin C. The artificial sphincter AS800 in congenital urinary incontinence. J Urol. Aug 1989;142(2 Pt 2):512-5; discussion 520-1. [Medline].

  87. Gordon D, Groutz A, Ascher-Landsberg J. Double-blind, placebo-controlled study of magnesium hydroxide for treatment of sensory urgency and detrusor instability: preliminary results. Br J Obstet Gynaecol. Jun 1998;105(6):667-9. [Medline].

  88. Gorton E, Stanton S. Ambulatory urodynamics: do they help clinical management?. BJOG. Mar 2000;107(3):316-9. [Medline].

  89. Gosalbez R, Castellan M. Defining the role of the bladder-neck sling in the surgical treatment of urinary incontinence in children with neurogenic incontinence. World J Urol. 1998;16(4):285-91. [Medline].

  90. Grady D, Brown JS, Vittinghoff E, et al. Postmenopausal hormones and incontinence: the Heart and Estrogen/Progestin Replacement Study. Obstet Gynecol. Jan 2001;97(1):116-20. [Medline].

  91. Griebling TL, Berman CJ, Kreder KJ. Fascia lata sling cystourethropexy for the management of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(3):165-73. [Medline].

  92. Griffiths DJ, Versi E. Needle urethropexies. In: Gershenson D, ed. Operative Techniques in Gynecologic Surgery. Vol 2. Philadelphia, Pa:. W.B. Saunders;1997:35-43.

  93. Grody MH. Urinary incontinence and concomitant prolapse. Clin Obstet Gynecol. Sep 1998;41(3):777-85. [Medline].

  94. Grody MH. Chapter7-Anterior pelvic compartment reconstruction: The total vaginal approach. In: Grody MH, ed. Benign Postreproductive Gynecologic Sugery. 1st ed. New York, NY:. McGraw Hill, Inc;1995:175-191.

  95. Hanzal E, Berger E, Koelbl H. Levator ani muscle morphology and recurrent genuine stress incontinence. Obstet Gynecol. Mar 1993;81(3):426-9. [Medline].

  96. Haylen BT, Law MG, Frazer M. Urine flow rates and residual urine volumes in urogynecology patients. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(6):378-83. [Medline].

  97. Haylen BT. Voiding difficulty in women. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(1):1-3. [Medline].

  98. Heit M. Endoluminal ultrasonography of the urethra: A new technology awaiting further investigation. 1999;5:22-31.

  99. Hendrix SL, Cochrane BB, Nygaard IE, et al. Effects of estrogen with and without progestin on urinary incontinence. JAMA. Feb 23 2005;293(8):935-48. [Medline].

  100. Herschorn S, Radomski SB. Collagen injections for genuine stress urinary incontinence: patient selection and durability. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(1):18-24. [Medline].

  101. Heslington K, Hilton P. Ambulatory urodynamic monitoring. Br J Obstet Gynaecol. May 1996;103(5):393-9. [Medline].

  102. Hilton P. Urodynamic findings in patients with urogenital fistulae. Br J Urol. Apr 1998;81(4):539-42. [Medline].

  103. Hol M, van Bolhuis C, Vierhout ME. Vaginal ultrasound studies of bladder neck mobility. Br J Obstet Gynaecol. Jan 1995;102(1):47-53. [Medline].

  104. Holley RL, Rouse DJ, Howard BC. The cost-effectiveness of three surgical procedures for genuine stress incontinence. J Pelvic Surg. 1997;3:246-50.

  105. Hsu TH, Rackley RR, Appell RA. The supine stress test: a simple method to detect intrinsic urethral sphincter dysfunction. J Urol. Aug 1999;162(2):460-3. [Medline].

  106. Hurt WG. Anterior colporrhaphy. In: Gershenson D, ed. Operative Techniques in Gynecologic Surgery. Vol 2. Philadelphia, Pa:. W.B. Saunders;1997:17-22.

  107. Hurt WG. Urinary incontinence in older women. Menopausal Medicine. 1996;4:1-4.

  108. Iglesia CB, Shott S, Fenner DE. Effect of preoperative voiding mechanism on success rate of autologous rectus fascia suburethral sling procedure. Obstet Gynecol. Apr 1998;91(4):577-81. [Medline].

  109. James M, Jackson S, Shepherd A. Pure stress leakage symptomatology: is it safe to discount detrusor instability?. Br J Obstet Gynaecol. Dec 1999;106(12):1255-8. [Medline].

  110. Jensen JK, Nielsen FR, Ostergard DR. The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol. May 1994;83(5 Pt 2):904-10. [Medline].

  111. Johnson TM, Ouslander JG. Urinary incontinence in the older man. Med Clin North Am. Sep 1999;83(5):1247-66. [Medline].

  112. Jorgensen JB, Jensen KM. Uroflowmetry. Urol Clin North Am. May 1996;23(2):237-42. [Medline].

  113. Jorgensen JB, Colstrup H, Frimodt-Moller C. Uroflow in women: an overview and suggestions for the future. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(1):33-6. [Medline].

  114. Julian TM. Physical examination and pretreatment testing of the incontinent woman. Clin Obstet Gynecol. Sep 1998;41(3):663-71. [Medline].

  115. Jung SY, Fraser MO, Ozawa H. Urethral afferent nerve activity affects the micturition reflex; implication for the relationship between stress incontinence and detrusor instability. J Urol. Jul 1999;162(1):204-12. [Medline].

  116. Kammerer-Doak DN, Dorin MH, Rogers RG. A randomized trial of burch retropubic urethropexy and anterior colporrhaphy for stress urinary incontinence. Obstet Gynecol. Jan 1999;93(1):75-8. [Medline].

  117. Karram MM, Partoll L, Bilotta V. Factors affecting detrusor contraction strength during voiding in women. Obstet Gynecol. Nov 1997;90(5):723-6. [Medline].

  118. Karram MM, Miklos JR. Chapter 8-Urodynamics: Urethral pressure profilometry and leak point pressures. In: Walters MD, Karram MM, eds. Urogynecology and Pelvic Reconstructive Surgery. 2nd ed. 2000:81-93.

  119. Kelleher CJ, Cardozo LD, Khullar V. A medium-term analysis of the subjective efficacy of treatment for women with detrusor instability and low bladder compliance. Br J Obstet Gynaecol. Sep 1997;104(9):988-93. [Medline].

  120. Kelleher CJ, Cardozo LD, Khullar V. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol. Dec 1997;104(12):1374-9. [Medline].

  121. Kelly HA, Dumm WM. Urinary incontinence in women, without manifest injury to the bladder. Journal of the American College of Surgeons. 1914;18:444-450.

  122. Kingsnorth AN, Skandalakis PN, Colborn GL. Embryology, anatomy, and surgical applications of the preperitoneal space. Surg Clin North Am. Feb 2000;80(1):1-24. [Medline].

  123. Kjolhede P, Lindehammar H. Pelvic floor neuropathy in relation to the outcome of Burch colposuspension. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(2):61-5. [Medline].

  124. Klutke JJ, Bergman A. Hormonal influence on the urinary tract. Urol Clin North Am. Aug 1995;22(3):629-39. [Medline].

  125. Klutke JJ, Bullock A, Klutke CG. Comparison of anchors used in anti-incontinence surgery. Urology. Dec 1998;52(6):979-81. [Medline].

  126. Kohli N, Miklos JR, Lucente V. Tension-free vaginal tape: A minimally invasive technique for treating female SUI. Contemporary Ob/Gyn. 1999;May:141-164.

  127. Kohli N, Jacobs PA, Sze EH. Open compared with laparoscopic approach to Burch colposuspension: a cost analysis. Obstet Gynecol. Sep 1997;90(3):411-5. [Medline].

  128. Kohli N, Karram MM. Urodynamic evaluation for female urinary incontinence. Clin Obstet Gynecol. Sep 1998;41(3):672-90. [Medline].

  129. Kovac SR. Follow-up of the pubic bone suburethral stabilization sling operation for recurrent urinary incontinence (Kovac Procedure). J Pelvic Surg. 1999;5:156-160.

  130. Kovac SR, Cruikshank SH. Pubic bone suburethral stabilization sling for recurrent urinary incontinence. Obstet Gynecol. Apr 1997;89(4):624-7. [Medline].

  131. Langer R, Ron-El R, Neuman M. The value of simultaneous hysterectomy during Burch colposuspension for urinary stress incontinence. Obstet Gynecol. Dec 1988;72(6):866-9. [Medline].

  132. Leng WW, McGuire EJ. Reconstructive surgery for urinary incontinence. Urol Clin North Am. Feb 1999;26(1):61-80, viii. [Medline].

  133. Lin HH, Sheu BC, Lo MC. Comparison of treatment outcomes for imipramine for female genuine stress incontinence. Br J Obstet Gynaecol. Oct 1999;106(10):1089-92. [Medline].

  134. Litwiller SE, Frohman EM, Zimmern PE. Multiple sclerosis and the urologist. J Urol. Mar 1999;161(3):743-57. [Medline].

  135. Maher C, Dwyer P, Carey M. The Burch colposuspension for recurrent urinary stress incontinence following retropubic continence surgery. Br J Obstet Gynaecol. Jul 1999;106(7):719-24. [Medline].

  136. Maher CF, Dwyer PL, Carey MP. Colposuspension or sling for low urethral pressure stress incontinence?. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(6):384-9. [Medline].

  137. Mark SD, Webster GD. Detrusor hyperactivity. In: Raz S, ed. Female Urology. 2nd ed. Philadelphia, Pa:. W.B. Saunders;1996:231-243.

  138. Marshall VF, Marchetti AD, Krantz KF. The correction of stress incontinence by simple vesicourethral suspension. In: Surgery, Gynecology and Obstetrics. 1949:509-518.

  139. Martins FE, Boyd SD. Artificial urinary sphincter in patients following major pelvic surgery and/or radiotherapy: are they less favorable candidates?. J Urol. Apr 1995;153(4):1188-93. [Medline].

  140. McFall S, Yerkes AM, Bernard M. Evaluation and treatment of urinary incontinence. Report of a physician survey. Arch Fam Med. Mar-Apr 1997;6(2):114-9. [Medline].

  141. McFarlane JP, Foley SJ, de Winter P. Acute suppression of idiopathic detrusor instability with magnetic stimulation of the sacral nerve roots. Br J Urol. Nov 1997;80(5):734-41. [Medline].

  142. McGuire EJ, Cespedes RD, O''Connell HE. Leak-point pressures. Urol Clin North Am. May 1996;23(2):253-62. [Medline].

  143. McLennan MT, Bent AE. Fascia lata suburethral sling vs. Burch retropubic urethropexy. A comparison of morbidity. J Reprod Med. Jun 1998;43(6):488-94. [Medline].

  144. Medina JJ, Parra RO, Moore RG. Benign prostatic hyperplasia (the aging prostate). Med Clin North Am. Sep 1999;83(5):1213-29. [Medline].

  145. Menefee SA, Chesson R, Wall LL. Stress urinary incontinence due to prescription medications: alpha- blockers and angiotensin converting enzyme inhibitors. Obstet Gynecol. May 1998;91(5 Pt 2):853-4. [Medline].

  146. Miklos JR, Kohli N. "Paravaginal Plus" Burch Procedure: A laparoscopic approach. J Pelvic Surg. 1998;4:297-302.

  147. Miklos JR, Kohli N. Laparoscopic paravaginal repair plus Burch colposuspension: review and descriptive technique. Urology. Dec 4 2000;56(6 Suppl 1):64-9. [Medline].

  148. Miklos JR, Sze EH, Karram MM. A critical appraisal of the methods of measuring leak-point pressures in women with stress incontinence. Obstet Gynecol. Sep 1995;86(3):349-52. [Medline].

  149. Miller JM, Ashton-Miller JA, DeLancey JO. A pelvic muscle precontraction can reduce cough-related urine loss in selected women with mild SUI. J Am Geriatr Soc. Jul 1998;46(7):870-4. [Medline].

  150. Miller JM, Ashton-Miller JA, Delancey JO. Quantification of cough-related urine loss using the paper towel test. Obstet Gynecol. May 1998;91(5 Pt 1):705-9. [Medline].

  151. Mills IW, Greenland JE, McMurray G. Studies of the pathophysiology of idiopathic detrusor instability: the physiological properties of the detrusor smooth muscle and its pattern of innervation. J Urol. Feb 2000;163(2):646-51. [Medline].

  152. Miyazaki FS. The Bonney test: a reassessment. Am J Obstet Gynecol. Dec 1997;177(6):1322-8; discussion 1328-9. [Medline].

  153. Montague DK. The artificial urinary sphincter (AS 800): experience in 166 consecutive patients. J Urol. Feb 1992;147(2):380-2. [Medline].

  154. Moore KH, Foote A, Siva S. The use of the bladder neck support prosthesis in combined genuine stress incontinence and detrusor instability. Aust N Z J Obstet Gynaecol. Nov 1997;37(4):440-5. [Medline].

  155. Morkved S, Bo K. Prevalence of urinary incontinence during pregnancy and postpartum. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(6):394-8. [Medline].

  156. Morse AN, Labin LC, Young SB, et al. Exclusion of elderly women from published randomized trials of stress incontinence surgery. Obstet Gynecol. Sep 2004;104(3):498-503. [Medline].

  157. Mostwin JL, Yang A, Sanders R. Radiography, sonography, and magnetic resonance imaging for stress incontinence. Contributions, uses, and limitations. Urol Clin North Am. Aug 1995;22(3):539-49. [Medline].

  158. Mottet N, Boyer C, Chartier-Kastler E. Artificial urinary sphincter AMS 800 for urinary incontinence after radical prostatectomy: the French experience. Urol Int. 1998;60 Suppl 2:25-9; discussion 35. [Medline].

  159. Nazir T, Khan Z, Barber HR. Urinary incontinence. Clin Obstet Gynecol. Dec 1996;39(4):906-11. [Medline].

  160. Nilsson CG, Kuuva N, Falconer C, et al. Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12 Suppl 2:S5-8. [Medline].

  161. Nitahara KS, Aboseif S, Tanagho EA. Long-term results of colpocystourethropexy for persistent or recurrent stress urinary incontinence. J Urol. Jul 1999;162(1):138-41. [Medline].

  162. Nygaard I, Holcomb R. Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(1):15-7. [Medline].

  163. Nygaard IE, Heit M. Stress urinary incontinence. Obstet Gynecol. Sep 2004;104(3):607-20. [Medline].

  164. Nygaard IE. Pharmacologic management of pelvic floor dysfunction. Obstet Gynecol Clin North Am. Dec 1998;25(4):867-82. [Medline].

  165. O'Shaughnessy MJ, Hernandez D, Rich W. The use of absorbable hemostatic agents to control pelvic bleeding. J Pelvic Surg. 1999;5:330-334.

  166. Okada N, Igawa Y, Nishizawa O. Functional electrical stimulation for detrusor instability. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(5):329-35. [Medline].

  167. Owens RG, Kohli N, Wynne J. Long-term rsults of fascia lata suburethral patch sling for severe stress urinary incontinence. J Pelvic Surg. 1999;196-202.

  168. Papa Petros PE. Detrusor instability and low compliance may represent different levels of disturbance in peripheral feedback control of the micturition reflex. Neurourol Urodyn. 1999;18(2):81-91. [Medline].

  169. Papa Petros PE. Cure of urinary and fecal incontinence by pelvic ligament reconstruction suggests a connective tissue etiology for both. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(6):356-60. [Medline].

  170. Paraiso MF, Falcone T, Walters MD. Laparoscopic surgery for genuine stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(4):237-47. [Medline].

  171. Park JM. This month in investigative urology. Myogenic versus neurogenic mechanism of detrusor instability. J Urol. Feb 2000;163(2):397. [Medline].

  172. Payne CK. Epidemiology, pathophysiology, and evaluation of urinary incontinence and overactive bladder. Urology. Feb 1998;51(2A Suppl):3-10. [Medline].

  173. Petri E, Koelbl H, Schaer G. What is the place of ultrasound in urogynecology? A written panel. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(4):262-73. [Medline].

  174. Petros PE. New ambulatory surgical methods using an anatomical classification of urinary dysfunction improve stress, urge and abnormal emptying. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(5):270-7. [Medline].

  175. Portera JC, Summitt RL. Common operations for stress incontinence: selecting the correct operation. Clin Obstet Gynecol. Sep 1998;41(3):712-8. [Medline].

  176. Portera SG, Lipscomb GH. Pharmacologic therapy for urinary incontinence and voiding dysfunctions. Clin Obstet Gynecol. Sep 1998;41(3):691-701. [Medline].

  177. Raz SR, Erickson DR. SEAPI QMM incontinence classification system. 1992;11:187.

  178. Richardson AC, Edmonds PB, Williams NL. Treatment of stress urinary incontinence due to paravaginal fascial defect. Obstet Gynecol. Mar 1981;57(3):357-62. [Medline].

  179. Riggs JA, Riggs JC. Update on retropubic incontinence surgery. In: The Female Patient. 1997:13-24.

  180. Rink RC. Bladder augmentation. Options, outcomes, future. Urol Clin North Am. Feb 1999;26(1):111-23, viii-ix. [Medline].

  181. Robinson D, Pearce KF, Preisser JS. Relationship between patient reports of urinary incontinence symptoms and quality of life measures. Obstet Gynecol. Feb 1998;91(2):224-8. [Medline].

  182. Ross JW. Multichannel urodynamic evaluation of laparoscopic Burch colposuspension for genuine stress incontinence. Obstet Gynecol. Jan 1998;91(1):55-9. [Medline].

  183. Rovner ES, Ginsberg DA, Raz S. Why anti-incontinence surgery succeeds or fails. Clin Obstet Gynecol. Sep 1998;41(3):719-34. [Medline].

  184. Salvatore S, Khullar V, Anders K. Reducing artefacts in ambulatory urodynamics. Br J Urol. Feb 1998;81(2):211-4. [Medline].

  185. Sand PK, Winkler H, Blackhurst DW. A prospective randomized study comparing modified Burch retropubic urethropexy and suburethral sling for treatment of genuine stress incontinence with low-pressure urethra. Am J Obstet Gynecol. Jan 2000;182(1 Pt 1):30-4. [Medline].

  186. Schaeffer AJ, Clemens JQ, Ferrari M. The male bulbourethral sling procedure for post-radical prostatectomy incontinence. J Urol. May 1998;159(5):1510-5. [Medline].

  187. Schaer GN, Siegwart R, Perucchini D. Examination of voiding in seated women using a remote-controlled ultrasound probe. Obstet Gynecol. Feb 1998;91(2):297-301. [Medline].

  188. Schaer GN, Perucchini D, Munz E. Sonographic evaluation of the bladder neck in continent and stress- incontinent women. Obstet Gynecol. Mar 1999;93(3):412-6. [Medline].

  189. Schmidt RA, Jonas U, Oleson KA. Sacral nerve stimulation for treatment of refractory urinary urge incontinence. Sacral Nerve Stimulation Study Group. J Urol. Aug 1999;162(2):352-7. [Medline].

  190. Scotti RJ, Angell G, Flora R. Antecedent history as a predictor of surgical cure of urgency symptoms in mixed incontinence. Obstet Gynecol. Jan 1998;91(1):51-4. [Medline].

  191. Sedor J, Mulholland SG. Hospital-acquired urinary tract infections associated with the indwelling catheter. Urol Clin North Am. Nov 1999;26(4):821-8. [Medline].

  192. Serels SR, Rackley RR, Appell RA. Surgical treatment for stress urinary incontinence associated with valsalva induced detrusor instability. J Urol. Mar 2000;163(3):884-7. [Medline].

  193. Serra DB, Affrime MB, Bedigian MP. QT and QTc interval with standard and supratherapeutic doses of darifenacin, a muscarinic M3 selective receptor antagonist for the treatment of overactive bladder. J Clin Pharmacol. Sep 2005;45(9):1038-47.

  194. Shaker HS, Hassouna M. Sacral nerve root neuromodulation: an effective treatment for refractory urge incontinence. J Urol. May 1998;159(5):1516-9. [Medline].

  195. Shimonovitz S, Monga AK, Stanton SL. Does the menstrual cycle influence cystometry?. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(4):213-5; discussion 215-6. [Medline].

  196. Shoukry MS, el-Salmy S. Urethral needle suspension for male urinary incontinence. Scand J Urol Nephrol. Jun 1997;31(3):267-70. [Medline].

  197. Sibley GN. Developments in our understanding of detrusor instability. Br J Urol. Jul 1997;80 Suppl 1:54-61. [Medline].

  198. Smith A, Rovner E. Long-term chronic complications from Stamey endoscopic bladder neck suspension: a case series. Int Urogynecol J Pelvic Floor Dysfunct. May 2006;17(3):290-4.

  199. Smith AR, Stanton SL. Laparoscopic colposuspension. Br J Obstet Gynaecol. Apr 1998;105(4):383-4. [Medline].

  200. Smith JJ, Swierzewski SJ. Augmentation cystoplasty. Urol Clin North Am. Nov 1997;24(4):745-54. [Medline].

  201. Snow BW, Cartwright PC. Bladder autoaugmentation. Urol Clin North Am. May 1996;23(2):323-31. [Medline].

  202. Stanton SL, Cardozo LD. Results of the colposuspension operation for incontinence and prolapse. Br J Obstet Gynaecol. Sep 1979;86(9):693-7. [Medline].

  203. Stanton SL, Williams LE, Ritchie D. The colposuspension operation for urinary incontinence. Br J Obstet Gynaecol. Nov 1976;83(11):890-5. [Medline].

  204. Steele AC, Kohli N, Mallipeddi P. Pharmacologic causes of female incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(2):106-10. [Medline].

  205. Steele AC, Kohli N, Karram MM. Periurethral collagen injection for stress incontinence with and without urethral hypermobility. Obstet Gynecol. Mar 2000;95(3):327-31. [Medline].

  206. Steers W, Corcos J, Foote J. An investigation of dose titration with darifenacin, an M3-selective receptor antagonist. BJU Int. Mar 2005;95(4):580-6.

  207. Strohbehn K, DeLancey JOL. The anatomy of stress incontinence. 1997;2:5-16.

  208. Strohbehn K, Aronson MP. Anterior colporrhaphy. In: Gershenson D, ed. Operative Techniques in Gynecologic Surgery. Vol 1. Philadelphia, Pa:. W.B. Saunders;1992:76-85.

  209. Su TH, Wang KG, Hsu CY. Prospective comparison of laparoscopic and traditional colposuspensions in the treatment of genuine stress incontinence. Acta Obstet Gynecol Scand. Jul 1997;76(6):576-82. [Medline].

  210. Sultana CJ. Urethral closure pressure and leak-point pressure in incontinent women. Obstet Gynecol. Nov 1995;86(5):839-42. [Medline].

  211. Summitt RL, Stovall TG, Bent AE. Urinary incontinence: correlation of history and brief office evaluation with multichannel urodynamic testing. Am J Obstet Gynecol. Jun 1992;166(6 Pt 1):1835-40; discussion 1840-4. [Medline].

  212. Sustersic O, Kralj B. The influence of obesity, constitution and physical work on the phenomenon of urinary incontinence in women. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(3):140-4. [Medline].

  213. Swami SK, Abrams P. Urge incontinence. Urol Clin North Am. Aug 1996;23(3):417-25. [Medline].

  214. Swierzewski SJ, McGuire EJ. Pubovaginal sling for treatment of female stress urinary incontinence complicated by urethral diverticulum. J Urol. May 1993;149(5):1012-4. [Medline].

  215. Swift SE, Yoon EA. Test-retest reliability of the cough stress test in the evaluation of urinary incontinence. Obstet Gynecol. Jul 1999;94(1):99-102. [Medline].

  216. Swift SE, Ostergard DR. Evaluation of current urodynamic testing methods in the diagnosis of genuine stress incontinence. Obstet Gynecol. Jul 1995;86(1):85-91. [Medline].

  217. Swithinbank LV, James M, Shepherd A. Role of ambulatory urodynamic monitoring in clinical urological practice. Neurourol Urodyn. 1999;18(3):215-22. [Medline].

  218. Sze EH, Miklos JR, Karram MM. Voiding after Burch colposuspension and effects of concomitant pelvic surgery: correlation with preoperative voiding mechanism. Obstet Gynecol. Oct 1996;88(4 Pt 1):564-7. [Medline].

  219. Tamussino KF, Zivkovic F, Pieber D. Five-year results after anti-incontinence operations. Am J Obstet Gynecol. Dec 1999;181(6):1347-52. [Medline].

  220. Theofrastous JP, Swift SE. The clinical evaluation of pelvic floor dysfunction. Obstet Gynecol Clin North Am. Dec 1998;25(4):783-804. [Medline].

  221. Theofrastous JP, Cundiff GW, Harris RL. The effect of vesical volume on Valsalva leak-point pressures in women with genuine stress urinary incontinence. Obstet Gynecol. May 1996;87(5 Pt 1):711-4. [Medline].

  222. Thom DH, van den Eeden SK, Brown JS. Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol. Dec 1997;90(6):983-9. [Medline].

  223. Thompson PK, Mooney RJ, Plummer A. Paravaginal Plus: A better incontinence operation?. J Pelvic Surg. 1998;4:157-62.

  224. Thorp JM, Norton PA, Wall LL. Urinary incontinence in pregnancy and the puerperium: a prospective study. Am J Obstet Gynecol. Aug 1999;181(2):266-73. [Medline].

  225. Thyssen H, Sander P, Lose G. A vaginal device (continence guard) in the management of urge incontinence in women. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(4):219-22. [Medline].

  226. Tincello DG, Adams EJ, Bolderson J. A urinary control device for management of female stress incontinence. Obstet Gynecol. Mar 2000;95(3):417-20. [Medline].

  227. Tse V, Wills E, Szonyi G. The application of ultrastructural studies in the diagnosis of bladder dysfunction in a clinical setting. J Urol. Feb 2000;163(2):535-9. [Medline].

  228. Tulikangas PK, Jackson ND, Myers DL. The status of the Burch retropubic urethropexy. J Pelvic Surg. 1998;4:218-22.

  229. Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol. Apr 1999;106(4):345-50. [Medline].

  230. Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol. Mar 1995;29(1):75-82. [Medline].

  231. Ustun Y, Engin-Ustun Y, Gungor M, Tezcan S. Tension-free vaginal tape compared with laparoscopic Burch urethropexy. J Am Assoc Gynecol Laparosc. Aug 2003;10(3):386-9. [Medline].

  232. Videla FL, Wall LL. Stress incontinence diagnosed without multichannel urodynamic studies. Obstet Gynecol. Jun 1998;91(6):965-8. [Medline].

  233. Visco AG, Weidner AC, Cundiff GW. Observed patient compliance with a structured outpatient bladder retraining program. Am J Obstet Gynecol. Dec 1999;181(6):1392-4. [Medline].

  234. Wall LL, DeLancey JOL. Observations on the diagnosis of stress incontinence. J Pelvic Surg. 1998;4:208-13.

  235. Wall LL. Diagnosis and management of urinary incontinence due to detrusor instability. Obstet Gynecol Surv. Nov 1990;45(11 Suppl):1S-47S. [Medline].

  236. Walters MD. Chapter 14-retropubic operations for genuine stress incontinence. In: Walters MD, Karram MM, eds. Urogynecology and Reconstructive Pelvic Surgery. 2nd ed. St. Louis, Mo:. Mosby;2000:159-169.

  237. Walters MD, Weber AM. Anatomy of the lower urinary tract, rectum and pelvic floor. In: Walters MD, Karram MM, eds. Urogynecology and Pelvic Reconstructive Surgery. 2nd ed. St. Louis, Mo:. Mosby;2000:3-13.

  238. Wang AC, Lo TS. Tension-free vaginal tape. A minimally invasive solution to stress urinary incontinence in women. J Reprod Med. May 1998;43(5):429-34. [Medline].

  239. Weidner AC, Low VH. Imaging studies of the pelvic floor. Obstet Gynecol Clin North Am. Dec 1998;25(4):825-48, vii. [Medline].

  240. Wein AJ. Pharmacology of incontinence. Urol Clin North Am. Aug 1995;22(3):557-77. [Medline].

  241. Weinberger MW. Cystourethroscopy for the practicing gynecologist. Clin Obstet Gynecol. Sep 1998;41(3):764-76. [Medline].

  242. Winkler HA, Sand PK. Treatment of detrusor instability with oxybutynin rectal suppositories. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(2):100-2. [Medline].

  243. Wojcik LJ, Kaplan GW. The wet child. Urol Clin North Am. Nov 1998;25(4):735-44, xi. [Medline].

  244. Wright EJ, Iselin CE, Carr LK. Pubovaginal sling using cadaveric allograft fascia for the treatment of intrinsic sphincter deficiency. J Urol. Sep 1998;160(3 Pt 1):759-62. [Medline].

  245. Wyndaele JJ. Normality in urodynamics studied in healthy adults. J Urol. Mar 1999;161(3):899-902. [Medline].

  246. Yoon E, Swift S. A comparison of maximum cystometric bladder capacity with maximum environmental voided volumes. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(2):78-82. [Medline].

  247. Young SB, Becker J. Postoperative urinary drainage. Clin Obstet Gynecol. Sep 1998;41(3):735-43. [Medline].

  248. Young SB, Pingeton DM. A practical approach to perimenopausal and postmenopausal urinary incontinence. Obstet Gynecol Clin North Am. Jun 1994;21(2):357-79. [Medline].

  249. Zaontz MR, Packer MG. Abnormalities of the external genitalia. Pediatr Clin North Am. Oct 1997;44(5):1267-97. [Medline].

  250. Zivkovic F, Tamussino K, Ralph G. Long-term effects of vaginal dissection on the innervation of the striated urethral sphincter. Obstet Gynecol. Feb 1996;87(2):257-60. [Medline].

  251. van Loenen NT, Vierhout ME. Augmentation of urethral pressure profile by voluntary pelvic floor contraction. Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(5):284-7. [Medline].

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Further Reading

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Keywords

urinary incontinence, stress incontinence, SUI, enuresis, urinary leakage, urogynecology, bladder, urethra, ureters, pelvic floor, weakening of connective tissue, genitourinary atrophy due to hypoestrogenism, nocturnal diuresis, involuntary bladder contractions, detrusor hyperreflexia, vesicovaginal fistula, vesicocutaneous fistula, exstrophy of the bladder, genuine stress incontinence, GSI, urethral diverticula, epispadias, intrinsic sphincter deficiency, ISD, urethral instability, overflow incontinence, outlet obstruction, detrusor instability, DI, urge incontinence, continuous incontinence, functional incontinence, benign prostatic hyperplasia, BPH, mixed incontinence, Marshall-Bonney test, modified Marshall-Marchetti-Krantz procedure, Ball-Burch procedure, paravaginal repair, laparoscopic retropubic urethropexy, needle urethropexy, suburethral sling procedure, tension-free vaginal tape, patch sling with suture arms, paraurethral fascial slingurethropexy, microwave therapy, periurethralinjectionprocedure, fistula repair, urethral diverticulum repair, cystoplasty, denervation procedure, implantable sacral neuromodulation device, artificial urethral sphincter, urinary diversion, complex reconstructive procedure, Kegel exercises

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Contributor Information and Disclosures

Author

Michael O'Shaughnessy, MD, FACOG, Assistant Chief, Director of Urogynecology, Assistant Clinical Professor, Department of Obstetrics and Gynecology, University of California at San Francisco, UCSF Fresno University Medical Center
Michael O'Shaughnessy, MD, FACOG is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Urological Association, Association of Professors of Gynecology and Obstetrics, California Medical Association, and Society of Laparoendoscopic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Martha K Terris, MD, FACS, Professor, Department of Surgery, Medical College of Georgia
Martha K Terris, MD, FACS is a member of the following medical societies: American Cancer Society, American College of Surgeons, American Institute of Ultrasound in Medicine, American Urological Association, New York Academy of Sciences, and Society of University Urologists
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Shlomo Raz, MD, Professor, Department of Surgery, Division of Urology, University of California at Los Angeles School of Medicine
Shlomo Raz, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, and California Medical Association
Disclosure: Nothing to disclose.

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Gyrus-ACMI Honoraria Speaking and teaching

Chief Editor

Michel E Rivlin, MD, Professor, Coordinator of Quality Assurance/Quality Improvement, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine
Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, and Royal College of Surgeons of Edinburgh
Disclosure: Nothing to disclose.

 
 
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