Overview
Stress urinary incontinence (SUI) is a common condition that significantly impacts women's health and incurs substantial societal costs. Single-incision slings represent a minimally invasive surgical option for its treatment.Diagnosis
Transperineal ultrasound has diagnostic value in patients with SUI 2.
Ultrasound parameters associated with SUI include reduced α angle, increased β angle at rest and during Valsalva, increased bladder neck descent, and larger hiatus area compared to the normal population 2.
Patients with SUI may have a slightly higher BMI than the normal population 2.Management
Single-incision slings are a minimally invasive treatment option for SUI 1.
The use of polypropylene mesh in urogynaecology, including mid-urethral slings, is restricted in many countries 1.Key Recommendations
Single-incision slings are a minimally invasive treatment option for stress urinary incontinence 1. (Evidence: Moderate)
Transperineal ultrasound has diagnostic value in the assessment of stress urinary incontinence 2. (Evidence: Moderate)References
1 Carter E, Johnson EE, Still M, Al-Assaf AS, Bryant A, Aluko P et al.. Single-incision sling operations for urinary incontinence in women. The Cochrane database of systematic reviews 2023. link
2 Chen Y, Peng L, Liu M, Shen H, Luo D. Diagnostic value of transperineal ultrasound in patients with stress urinary incontinence (SUI): a systematic review and meta-analysis. World journal of urology 2023. link