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Surgery Tops Muscle Training for Incontinence

(MedPage Today) Women with stress urinary incontinence reported better subjective improvement and had higher cure rates at 1 year when treated initially with surgery instead of pelvic floor-muscle training, a randomized trial showed…
The rate of subjective cure was more than 60% higher in the surgery arm, and comparison of objective cure rates at 1 year showed a 30% relative advantage in favor of surgery, Julien Labrie, MD, … and co-authors reported…
"Our findings suggest that women with [SUI] should be counseled regarding both pelvic floor-muscle training and midurethral-sling surgery as initial treatment options," the authors concluded. "Information on expected outcomes with both interventions, as well as on the potential, albeit infrequent, complications of surgery, will allow for individualized decision making by each women and her healthcare provider."
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