The impact of detrusor overactivity on the management of stress urinary incontinence in women

H. Henry Lai, Michael Simon, Timothy B. Boone

Research output: Contribution to journalReview article

15 Scopus citations

Abstract

The presence of overactive bladder symptoms, urodynamic detrusor overactivity, and urge incontinence can complicate the diagnosis and management of stress urinary incontinence in women. The exact pathophysiology of mixed incontinence is not well characterized; in some patients, the stress and urge etiology may be pathologically linked. The role of urodynamics in evaluating patients with mixed incontinence remains controversial. Conservative therapies, such as bladder training, pelvic floor exercise, biofeedback, and electrical stimulation, offer moderate success in women with mixed incontinence. Surgery (colposuspension, bladder neck pubovaginal slings, and midurethral slings) offers excellent subjective and objective cure rates in patients with mixed incontinence. Preoperative detrusor overactivity is cured consistently ≥ 50% of the time with colposuspension and slings. Overall, the presence of preoperative detrusor overactivity does not appear to significantly worsen the outcome of conservative and surgical treatments for stress urinary incontinence in women.

Original languageEnglish
Pages (from-to)354-362
Number of pages9
JournalCurrent urology reports
Volume7
Issue number5
DOIs
StatePublished - Sep 1 2006
Externally publishedYes

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