Belastungsinkontinenz

摘要

Urinary stress incontinence is the most common entity in the field of female urinary incontinence. Medical history and urogynecological examination are the key diagnostic elements. If necessary, urodynamic testing and urogenital sonography are helpful tools to determine the best choice of treatment. There are various conservative strategies available, such as physiotherapy, medicinal or pessary therapy, which should be defined as the first line treatment of urinary stress incontinence. However, surgical intervention might be required to cure the bothersome symptoms and to increase the quality of life. In many hospitals colposuspension has been replaced by newer, less invasive techniques, such as tension-free vaginal tape procedures and they have become established as the new gold standard. As surgical therapy has an elective character in order to improve quality of life, it is crucial to counsel patients regarding all conservative and operative alternatives. The decision on which therapeutic option is to be selected needs to be shared by both physician and patient.