Journal article
A timeline of female stress urinary incontinence: how technology defined theory and advanced treatment
Neurourology and urodynamics, Vol.39(6), pp.1862-1867
08/2020
DOI: 10.1002/nau.24407
PMID: 32511797
Abstract
Prevailing theories and treatments of female stress urinary incontinence are built on 120 years of evolution in understanding the structure and function of the female bladder neck and urethra and of considering why treatments failed. In our management of patients, it is important to understand and appreciate how our management of female stress urinary incontinence has evolved and which treatments have prevailed as we advance our knowledge for future treatments.
The purpose of this review is to describe how advances in technology impacted and shaped prevailing theories or understanding of the pathophysiology of stress urinary incontinence and influences our treatment approach.
An extensive literature search was performed from 1900 to present identifying articles that discussed technological advancements in female urology, theories of female stress incontinence, and treatments.
The literature from the 20th century to the present shows a nonlinear evolution of the pathophysiological mechanism of stress urinary incontinence (SUI) from a notion of SUI and secondary to a simple anatomic finding to consideration of the effects of neurophysiologic pathways on SUI. Slings, however, have been a staple in the management of SUI.
The pubovaginal sling (PVS) is a procedure that, with minor modifications (graft size, suture preference) has withstood the test of time and maintained its place in the armamentarium of SUI treatment for 100 years. It is therefore imperative that we continue to educate our residents and fellows on the surgical techniques and indications for use of the PVS.
Details
- Title: Subtitle
- A timeline of female stress urinary incontinence: how technology defined theory and advanced treatment
- Creators
- Gretchen Schreiner - Grinnell CollegeRylee Beltran - Grinnell CollegeGina Lockwood - University of IowaElizabeth B Takacs - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Neurourology and urodynamics, Vol.39(6), pp.1862-1867
- DOI
- 10.1002/nau.24407
- PMID
- 32511797
- ISSN
- 0733-2467
- eISSN
- 1520-6777
- Language
- English
- Date published
- 08/2020
- Academic Unit
- Stead Family Department of Pediatrics; Obstetrics and Gynecology; Urology; Community and Behavioral Health
- Record Identifier
- 9984319975602771
Metrics
17 Record Views