Other Therapies for Stress Urinary Incontinence

Tara L. Frenkl and Sandip P. Vasavada

Whereas simple and definitive sling, retropubic, or injectable therapy will suffice for the overwhelming majority of incontinent patients, it is often extremely difficult to manage stress urinary incontinence that is of a refractory nature. Accordingly, less often used modalities may be required to cure the condition, including the use of obstructing or circumferential slings, artificial urinary sphincters (AUS), or even transvaginal closure of the bladder neck.1 These methods are certainly retained for a "last resort" of therapy, yet still maintain a prominent position in care, because all patients will not be successfully managed with standard therapies.

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