|September 2003 · Vol. 15, No. 9
Stress urinary incontinence: A closer look at nonsurgical therapies
This pervasive condition has spawned a host of treatments, from conservative measures like pelvic floor rehabilitation to cutting-edge modalities such as radiofrequency therapy. In this discussion, a panel of experts compares the less invasive options and offers pearls on evaluating and counseling patients and selecting appropriate treatments.
Peter K. Sand, MD, moderator of this discussion, is professor of obstetrics and gynecology at the Feinberg School of Medicine, Northwestern University, Evanston, Ill.
G. Willy Davila, MD, is chairman, department of gynecology, Cleveland Clinic Florida, Weston, Fla.
Karl Luber, MD, is assistant clinical professor, division of female pelvic medicine and reconstructive surgery, University of California School of Medicine, San Diego, and director of the female continence program at Kaiser Permanente, San Diego.
Deborah L. Myers, MD, is associate professor of obstetrics and gynecology, Brown University School of Medicine, Providence, RI.
We know what it is: The involuntary loss of urine during activities that increase intra-abdominal pressure. And we know what it isn’t: Rare. We even know how to treat stress incontinence, since it affects women of all ages and generally can be attributed to urethral hypermobility and/or intrinsic sphincter deficiency. But are we upto-date on all the management options, both tried and true and brand new? To address this question, OBG Management convened a panel of expert urogynecologists. Their focus was conservative therapies.