(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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Please do not give advice. We can best help each other by telling what works for us, not what we think someone else should do.