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First-line management emphasizes pelvic floor muscle training with structured instruction and supervision, followed by surgical options such as midurethral and single-incision slings, while alternatives and unmet needs in severe cases are highlighted.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/prevalence-diagnosis-and-management-of-stress-urinary-incontinence-in-women-review/564502/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/prevalence-diagnosis-and-management-of-stress-urinary-incontinence-in-women-review/564502.png","ImageObject",300,407,{"name":42,"@type":43},"Jasmine","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-20","2026-10-12",true,{"@type":52,"interactionType":53,"userInteractionCount":30},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What is stress urinary incontinence (SUI) and why is it still a concern in women?","Question",{"text":62,"@type":63},"SUI is involuntary urine leakage associated with physical activity. It remains underdiagnosed and undertreated, creating a gap between prevalence and care-seeking behavior.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How is SUI diagnosis approached in this review?",{"text":67,"@type":63},"Diagnosis involves comprehensive assessment including medical history and physical examination. In some cases, invasive urodynamics are used.",{"name":69,"@type":60,"acceptedAnswer":70},"What treatments are recommended across different stages of SUI severity?",{"text":71,"@type":63},"Pelvic floor muscle training is presented as first-line management when delivered with good instructions and supervision. Surgical options such as midurethral and single-incision slings are second-line choices, with concerns about mesh-related complications and limited long-term confirmation for single-incision slings; alternatives and therapies for complicated cases are also discussed.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},564502,1792338101,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Exam",70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":81,"data":131},{"doc_id":78,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":30,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":123,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144},2336478487870,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","available [at www.sciencedirect. com](at www.sciencedirect. com)  \njournal [homepage: www.europeanurology.com](homepage: www.europeanurology.com)  \n| Review – Female Urology – Incontinence – Editor’s choice\u003Cbr>Prevalence, Diagnosis, and Management of Stress Urinary Incontinence in Women: A Collaborative Review\u003Cbr>Lisa Morisa,*, John Heesakkers b, Victor Nittic, Helen E. O’Connell d,e, Benoit Peyronnetf, Maurizio Seratig, Imran M. Omar h, Chris Harding i,j\u003Cbr>a Department of Urology University Hospitals Leuven Leuven Belgium; b Department of Urology Maastricht University Medical Center Maastricht The Netherlands; c Department of Urology and Obstetrics and Gynecology, David Geffen School of Medicine at UCLA Los Angeles CA USA; d Department of Surgery, University of Melbourne Melbourne Australia; e Australasian Pelvic Floor Procedure Registry, Monash University Melbourne Australia; f Department of Urology, University of Rennes Rennes France; g Department of Obstetrics and Gynecology, Urogynecology Unit, University of Insubria Varese Italy; hAcademic Urology Unit, University of Aberdeen Aberdeen UK; i Department of Urology, Freeman Hospital Newcastle-upon-Tyne UK; j Translational and Clinical Research Institute, Newcastle University Newcastle-upon-Tyne UK |  |\n| --- | --- |\n| Article info\u003Cbr>Article history:\u003Cbr>Accepted December 26, 2024\u003Cbr>Associate Editor:\u003Cbr>Gianluca Giannarini, MD\u003Cbr>Keywords:\u003Cbr>Stress urinary incontinence Female incontinence Colposuspension\u003Cbr>Pelvic floor muscle training Midurethral sling Artificial urinary sphincter Minimally invasive surgery\u003Cbr>| Abstract |\n|  | Background and objective: Stress urinary incontinence (SUI), defined as any involuntary leakage of urine associated with physical activity, remains underdiagnosed and undertreated. This review aims to provide an updated overview of the prevalence, diagnosis, and treatment of SUI in women, drawing upon recent evidence-based literature and clinical guidelines.\u003Cbr>Methods: A systematic search of the MEDLINE database was conducted to identify only the most up-to-date and relevant studies published up to February 26, 2024, includingthe reference ESTER systematic review. The search was limited to systematic reviews published in the preceding 1 yr. Any additional included publications were limited to those published or referenced as part of the existing/current guidelines.\u003Cbr>Key findings and limitations: Diagnosis of SUI involves a comprehensive assessment, including medical history, physical examination, and in some cases, invasive urodynamics. Pelvic floor muscle training emerges as a first-line management strategy, showing efficacy in symptom improvement when good educational instructions and supervision are provided. Surgical interventions with midurethral and single-incision slings offer a second-line option, although concerns regarding mesh-related complications persist with a decrease in its use. Moreover, the long-term efficacy of single-incision slings remains to be confirmed. Urethral bulking agents, colposuspension, and autologous fascial slings are existing alternatives supported by robust evidence, albeit with a different adverse event profile. Management of complicated and severe SUI remains challenging, with autologous fascial sling and artificial urinary sphincters being established treatments, but high-quality data remain lacking.\u003Cbr>Conclusions and clinical implications: Heightened awareness and accessibility to SUI treatment are imperative to address the gap between prevalence and medical care–seeking behavior. Pelvic floor muscle training and surgical interventions represent key\u003Cbr>* Corresponding author. KU Leuven University Hospitals Leuven, Herestraat 49, Leuven 3000, Belgium. Tel. +32474828087.\u003Cbr>E-mail address: [lisa.moris1506@gmail.com](lisa.moris1506@gmail.com) (L. Moris) [lisa.moris1506@gmail.com](lisa.moris1506@gmail.com) (L. Moris).  |\n\n[https://doi.org/10.1016/j.eururo.2024.12.017](https://doi.org/10.1016/j.eururo.2024.12.017)  \n030","cbCaih5J6JiaYVou","https://ap.wps.com/l/cbCaih5J6JiaYVou","pdf",1123512,"English","# Article info\n## Article history and keywords\n# Abstract\n## Background and objective\n## Methods\n## Key findings and limitations\n## Conclusions and clinical implications\n# Advancing practice\n## What does this study add?","[{\"question\":\"What is stress urinary incontinence (SUI) and why is it still a concern in women?\",\"answer\":\"SUI is involuntary urine leakage associated with physical activity. It remains underdiagnosed and undertreated, creating a gap between prevalence and care-seeking behavior.\"},{\"question\":\"How is SUI diagnosis approached in this review?\",\"answer\":\"Diagnosis involves comprehensive assessment including medical history and physical examination. In some cases, invasive urodynamics are used.\"},{\"question\":\"What treatments are recommended across different stages of SUI severity?\",\"answer\":\"Pelvic floor muscle training is presented as first-line management when delivered with good instructions and supervision. Surgical options such as midurethral and single-incision slings are second-line choices, with concerns about mesh-related complications and limited long-term confirmation for single-incision slings; alternatives and therapies for complicated cases are also discussed.\"}]","Prevalence, Diagnosis, and Management of Stress Urinary Incontinence in Women - Review | PDF",1791842604,25]