|Incidence of Stress Urinary Incontinence (SUI) is
underestimated due to patient's reluctance in seeking medical care, either because they
feel embarrassed or because they think their problem is not severe enough to require
medical evaluation1, 2. The above-mentioned problems
are generally aggravated in view of some physicians attitude towards urinary
incontinence as a normal course of womans aging process.
Various mechanisms contribute to the pathogenesis of genuine stress urinary incontinence such as multiparity, menopause and previous pelvic surgeries. Genetic predisposition ( alteration in collagen/elastic relation, number of oestrogen receptors) may contribute to the onset of SUI 3.
Institution of a nonsurgical management for individuals with stress urinary incontinence (SUI) must be thoroughly discussed with the patient. Since SUI usually does not lead to significant risks to the patients health, any decision regarding treatment must be made in conjunction with the patient. It is essential to find out if the patient really feels uncomfortable with her problem, if she is willing to face the risks of a surgical procedure or if she is motivated to start and follow the protocols of a long-term clinical treatment.
Table 1: The advantages and disadvantages of clinical and surgical procedures.
|Vesico-sphincterian reeducation is an alternative treatment for patients with stress urinary incontinence (SUI). The objective of the present paper is to demonstrate the principles, indications and results of this treatment in the management of SUI.|