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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 physician’s attitude towards urinary incontinence as a normal course of woman’s 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 patient’s 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.
Clinical treatment Surgical procedure
Prerequisite: Motivation
Indication:

Patient is not willing to undergo surgery
Prerequisite: Information
Indication:

Lack of motivation for clinical treatment Unsuccessful clinical treatment
Advantages:
Absence of anesthesia
Absence of surgical risks and complications
Advantages:
Short-term efficacy
Satisfactory results obtained within a short term
Disadvantages:
Long-duration protocols
Degree of patient’s motivation is highly important
Long-term efficacy
Disadvantages:
Efficacy decreases over the years
Surgical and/or anesthetic complications
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.