ABSTRACT

A multitude of options exist for the management of female stress urinary incontinence (SUI), such as pelvic floor muscle training (PFMT), urethral suspension procedures, urethral slings, and urethral bulking agents [1–3]. Careful patient education regarding the etiology and natural history of sui as well as the physiology of urinary storage and voiding is extremely helpful in setting shared goals with the patient regarding all management options. Current guidelines recommend, at a minimum, a focused history and physical exam; an objective demonstration of sui and urinalysis; and an assessment of postvoid residual, with additional diagnostic testing (urodynamic evaluation, cystoscopy, imaging, etc.) being utilized on a case-by-case basis [1–3].