Surgical Treatments for Women with Stress Urinary Incontinence: A Systematic Review
Bogdan Cristian Călinescu,
Adrian Neacșu,
Ana Elena Martiniuc,
Dan Dumitrescu,
Catalina Diana Stănică,
George-Alexandru Roșu,
Laura Ioana Chivu,
Raluca Gabriela Ioan
Affiliations
Bogdan Cristian Călinescu
Department of Obstetrics-Gynecology, INSMC Alessandrescu Russescu, 38-52 Gheorghe Polizu Str., 127715 Bucharest, Romania
Adrian Neacșu
Department of Obstetrics-Gynecology and Neonatology, University of Medicine and Pharmacy “Carol Davila”, 37 Dionisie Lupu Str., 020021 Bucharest, Romania
Ana Elena Martiniuc
Department of Obstetrics-Gynecology and Neonatology, University of Medicine and Pharmacy “Carol Davila”, 37 Dionisie Lupu Str., 020021 Bucharest, Romania
Dan Dumitrescu
Department of General Surgery, Emergency University Hospital, University of Medicine and Pharmacy “Carol Davila”, 168 Splaiul Independentei Str., 050098 Bucharest, Romania
Catalina Diana Stănică
Department of Obstetrics-Gynecology and Neonatology, University of Medicine and Pharmacy “Carol Davila”, 37 Dionisie Lupu Str., 020021 Bucharest, Romania
George-Alexandru Roșu
Department of Obstetrics-Gynecology and Neonatology, Saint Pantelimon Emergency Hospital, University of Medicine and Pharmacy “Carol Davila”, 340-342 Pantelimon Str., 021659 Bucharest, Romania
Laura Ioana Chivu
Department of Pathophysiology, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania
Raluca Gabriela Ioan
Department of Obstetrics-Gynecology, INSMC Alessandrescu Russescu, 38-52 Gheorghe Polizu Str., 127715 Bucharest, Romania
Stress urinary incontinence affects a large proportion of women in their lifetime. The objective of this review was to describe and compare the latest surgical trends in urinary incontinence and focus on the literature advantages, disadvantages, complications and efficacy of surgical procedures regarding this pathology. Using network meta-analysis, we have identified the most frequently used procedures (Burch surgery, midurethral sling and pubovaginal sling), and we have described and characterized them in terms of effectiveness and safety. Midurethral procedures remain the gold standard for surgical treatment of stress urinary incontinence, although the potential of serious complications following this procedure should be taken into consideration always. There is a clear need for a much more unified evaluation of possible complications and postoperative evolution. This process will help practitioners to adapt and individualize their strategy for each patient.
