ABSTRACT
Treatment options for stress urinary incontinence consist of lifestyle modifications, pessary use, and surgery. Traditional surgical treatments included open, and more recently laparoscopic, retropubic urethropexy (aka retropubic colposuspension) procedures such as the Marshall-Marchetti-Krantz (MMK) and Burch procedures, needle suspension procedures, and Kelly plication. This chapter first examines preoperative procedures, before then looking at retropubic ones, including intraoperative and postoperative care. Next, it describes the transobturator approach, also touching on postoperative care. Finally, the chapter looks at the single incision procedure. It concludes that traditional (retropubic and transobturator), minimally invasive, midurethral slings are the most well-studied surgical procedure for stress urinary incontinence and have widely been accepted as the standard of care for this condition.
