|December 2009 · Vol. 21, No. 12
UPDATE ON: URINARY INCONTINENCE
Recent studies paint a promising picture for 4 treatments: weight loss, surgery with tension-free vaginal tape, botulinum toxin injection, and sacral nerve stimulation. Should they be a component of the care you offer?
Weight loss (at a mean of 8% of baseline weight) was accompanied by a nearly 50% mean decrease in the number of urinary incontinence episodes in a week
6 months postop, 21% of women who were treated with TVT still had stress incontinence—compared with 45% of those who had a TOT procedure
6 of every 10 women in the Botox arm of the study said that their previously refractory idiopathic urge incontinence improved—and that the effect persisted for (a median of) just over 1 year
Dr. Reddy is a Fellow in Urogynecology and Reconstructive Pelvic Surgery at the Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, Cleveland, Ohio.Marie Fidela
Dr. Paraiso is Section Head of Urogynecology and Reconstructive Pelvic Surgery at the Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, Cleveland, Ohio.
The authors report no financial relationships relevant to this article.
Four recent studies enhance our understanding of the benefits, efficacy, and risks of the following interventions in women who have urinary incontinence (UI):