Stress urinary incontinence is losing urine when coughing, laughing, sneezing or exercising. It can be caused by changes to muscles and ligaments holding up the bladder. Muscle-strengthening exercises can help, and there are surgical techniques to improve support or correct problems. Open retropubic colposuspension is an operation which involves lifting the tissues around the junction between the bladder and the urethra. The review of trials found that this is an effective surgical technique for stress and mixed urinary incontinence in women, resulting in long-term cure for most women. New techniques, particularly sling operations (including the use of tension-free vaginal tape (TVT)) and keyhole (laparoscopic) colposuspension, look promising but need further research particularly on long-term performance.
Open retropubic colposuspension for urinary incontinence in women
13 June 2012
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