Urinary incontinence (UI): involuntary urine (ur) loss. Common in women. Few seek care despite effective options. May affect quality of life (QoL).
UI: transient (acute, <6 months, and revers...
Age: Onset in childhood indicates congenital cause (ectopic ureter). Stress UI is common in women 19-64 years old; mixed UI is common >65 years old.
Nature-duration: Stress UI pres...
Stepwise approach: conservative (1st line), Rx-mechanical devices (2nd line), invasive interventions (3rd line).
Tx correctable causes (infection, constipation).
Stress UI: 6 t...
R32 Unspecified urinary incontinence
N39.3 Stress incontinence (female) (male)
N39.41 Urge incontinence
N39.46 Mixed incontinence
N39.45 Continuous leakage
N39.42 Incontinence without sensory aw...
Most UI: diagnosed with Hx and PE in conjunction with CST, PVR, and UA. UDS does not add value in uncomplicated UI.
R/O: infection (UTI, STI), hematuria.
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<bold>Figure 29.4.</bold> Surgical therapy for urinary incontinence. (<bold>A1–A3</bold>) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (<bold>A1</bold>) Anterior vaginal wall is opened and undermined. (<bold>A2</bold>) Paraurethral tissue lateral to the urethrovesical (UV) junction is sutured. (<bold>A3</bold>) This creates a firm bar of tissue that supports the UV junction. (<bold>B1–B4</bold>) Retropubic suspension procedures, the Marshall-Marchetti-Krantz procedure. (<bold>B1</bold>) The suture is placed in the per...
<bold>Figure 29.4.</bold> Surgical therapy for urinary incontinence. (<bold>A1–A3</bold>) Anterior vaginal wall re...
Figure 29.4. Pessaries. (A) Inflatable. (B) Doughnut. (C) Smith-Hodge. (D) Cube.
Figure 29.5. Surgical therapy for urinary incontinence. (A1-A3) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (A1) Anterior vaginal wall is opened and undermined. (A2) Paraurethral tissue lateral to the urethrovesical (UV) junction is sutured. (A3) This creates a firm bar of tissue that supports the UV junction. (B1-B4) Retropubic suspension procedures, the Marshall-Marchetti-Krantz procedure. (B1) The suture is placed in the periurethral tissue and then into the pubic periost...
Figure 29.5. Surgical therapy for urinary incontinence. (A1-A3) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (A1) Anterior ...