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Published in: International Urogynecology Journal 11/2015

01-11-2015 | Clinical Opinion

What is the best surgical intervention for stress urinary incontinence in the very young and very old? An International Consultation on Incontinence Research Society update

Authors: Dudley Robinson, David Castro-Diaz, Ilias Giarenis, Philip Toozs-Hobson, Ralf Anding, Claire Burton, Linda Cardozo

Published in: International Urogynecology Journal | Issue 11/2015

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Abstract

An increasing number of continence procedures are being performed in women of all ages. An overview of the existing literature and consensus regarding surgery for stress urinary incontinence (SUI) in the young and the old was presented and discussed at the International Consultation on Incontinence Research Society Think Tank. This manuscript reflects the Think Tank's summary and opinion. Despite the increasing number of continence procedures, there are relatively few data to guide management in the very young and the very old. When considering continence surgery in the young, long-term efficacy and safety are paramount, and the future effects of pregnancy and childbirth need to be carefully considered. Conversely, in the elderly, minimally invasive procedures with low morbidity are important, especially in the frail elderly who may have significant co-morbidities. Further research including prospective randomised trials, cohort studies and national registries, should help guide our management in these two challenging groups of patients.
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Metadata
Title
What is the best surgical intervention for stress urinary incontinence in the very young and very old? An International Consultation on Incontinence Research Society update
Authors
Dudley Robinson
David Castro-Diaz
Ilias Giarenis
Philip Toozs-Hobson
Ralf Anding
Claire Burton
Linda Cardozo
Publication date
01-11-2015
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 11/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-015-2783-9

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