2024

Female SUI: Full-length MUS, PVS

Christopher E. Wolter, MD, focuses on advancements in the surgical management of female stress urinary incontinence, emphasizing the evolving role of different sling techniques. In this 11-minute presentation, Wolter highlights midurethral slings (MUS), specifically retropubic slings, widely accepted as the gold standard.

The discussion includes photographic, ultrasound, and drawn images to illustrate correct sling placement. Wolter also discusses patient selection criteria for different sling options. He notes that addressing the stress component first often helps alleviate urgency; however, data suggests that urgency symptoms resolve in 66% of cases when treated with mid-urethral slings. Finally, Wolter acknowledges the importance of patient counseling and education, to assure sling success.

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SUI – AUA/SUFU Guidelines 2017 — Amendment 2023

Suzette E. Sutherland, MD, MS, URPS, discusses the AUA and SUFU guidelines for evaluating and treating stress urinary incontinence (SUI). In this five-minute talk, Dr. Sutherland reviews the five key components for evaluating a patient with SUI and discusses indications for advanced diagnostic tools such as cystoscopy and urodynamics.
Dr. Sutherland’s discussion continues with the Guideline’s treatment options, both non-surgical (pessaries, vaginal inserts, and pelvic floor muscle exercises), and surgical (bulking agents, midurethral slings). The recent amendment to the guidelines now allows clinicians to offer single-incision slings alongside retropubic and transobturator slings for patients, reflecting their comparable safety and effectiveness.

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