Author/Editor		Perrone, A; Tinelli, A; Menis, T; Lukanovič, A; Barbič, M; Rakar, S; Wiesenfeld, U; Tinelli, R; Tinelli, FG
Title		Incontinenza urinaria da sforzo
Type		članek
Source		Minerva Ginecol
Vol. and No.		Letnik 55, št. 1
Publication year		2003
Volume		str. 25-36
Language		ita
Abstract		Stress urinary female incontinence (IUS) is an unpleasant symptom describing a loss of urine during physical exertion; genuine stress incontinence (GSI) is a socially unacceptable, involuntary loss of urlne in absence of detrusor activity from the urethra associated with sudden cough or strain. The incidence of IUS is less than 10% in reproductive-age women but may approach 10-20% in postmenopausal women. The IUS pathophysiology is connected with two specific mechanisms: the urethralbladder sliding out of anatomical area involves the normal system of endobladder/intraabdominal pressures, with a loss of urine; the second mechanism invoives the damaged urethral sphincteric function, with a reduction of the urethral closure pressure and a urinary loss after minimal physical stimulation. The IUS medical therapy is troublesome and often inefficient, and the only approved effective measures are the surgical procedures, actually reserved for cases of unsuccessful medical therapy; surgical treatments can be classified according to the access as: vaginal, abdominal, associated and complex. They intend to reposition the urethral-bladder sliding in its normal intra-abdominal position, to allow equal transmission of increased intraabdominal pressure to the bladder and the proximal urethra.
Descriptors		URINARY INCONTINENCE, STRESS BLADDER URETHRA