Evolution of surgical treatment for female SUI and the current gold standard: conceptual shift from treatment of etiology to reshape of urinary control mechanism
10.3969/j.issn.1009-8291.2025.01.003
- VernacularTitle:从病因治疗到重塑尿控——女性压力性尿失禁的手术治疗观念变更及当前的金标准术式(“大家泌尿网”观看手术视频)
- Author:
Deyi LUO
1
,
2
;
Hong SHEN
1
,
2
;
Jie ZHANG
1
,
2
Author Information
1. Department of Urology, West China Hospital, Sichuan University, Chengdu 610041
2. Pelvic Floor Diseases Center, West China Tianfu Hospital, Sichuan University, Chengdu 610200, China
- Publication Type:Journal Article
- Keywords:
female stress urinary incontinence;
surgical treatment;
evolution of surgical methods;
mid-urethral sling
- From:
Journal of Modern Urology
2025;30(1):8-12
- CountryChina
- Language:Chinese
-
Abstract:
With the growing aging population, female stress urinary incontinence (SUI), due to its high incidence, has become a common disease that seriously affects patients' quality of life and brings heavy economic burden to families and society.Over the past century, the surgical treatments of SUI were continuously updated along with the in-depth research on the disease mechanism.However, in recent years, the concept of anti-incontinence surgery has shifted from treating the causes to reshaping the urinary control mechanism.As a result, the mid-urethral sling (MUS) procedure has gained global acceptance since its introduction, swiftly acknowledged both domestically and internationally as the gold standard due to its minimally invasive nature and proven effectiveness.MUS is also the most commonly used surgical method for SUI patients treated in our center.Based on our own surgical experience, we will analyze the main steps, technical points, and preventive strategies of surgical complications of MUS, so as to provide clinical reference.