| Treatment options for intrinsic sphincter deficiency. | |
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MedLine Citation:
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PMID: 23027065 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Type III stress urinary incontinence (SUI) is generally defined as a condition that involves intrinsic sphincter deficiency (ISD). Although the clinical parameters for ISD are loosely defined as a Valsalva leak-point pressure <60 cmH(2)O or a maximal urethral closure pressure <20 cmH(2)O, consensus is lacking. As a result, studies evaluating the success of any treatment for ISD are difficult to interpret. Regardless, several studies over the past 20 years have evaluated a number of surgical and nonsurgical treatments specifically for SUI caused by ISD. Surgical options include retropubic suspension, needle suspensions, various types of suburethral slings and the artificial urinary sphincter, whereas nonsurgical options include urethral bulking agents. Assessing urethral function (specifically, leak-point pressure or maximal urethral closure pressure) and urethral hypermobility will enable treating physicians to determine the ideal solution for individual patients, especially as no standardized treatment for ISD exists. |
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Authors:
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Sovrin M Shah; Geoffrey S Gaunay |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-02 |
Journal Detail:
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Title: Nature reviews. Urology Volume: - ISSN: 1759-4820 ISO Abbreviation: Nat Rev Urol Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101500082 Medline TA: Nat Rev Urol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Sol and Margaret Berger Department of Urology, Beth Israel Medical Center Phillips Ambulatory Care Center, 10 Union Square East, Suite 3A, New York, NY 10003, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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