Recent improvements in the understanding of the physiology and anatomy of the female lower urinary tract, in conjunction with advances in surgical materials and instrumentation, have created an environment that cultivates new approaches to treating urinary incontinence in women. Changes in healthcare allocation and reimbursement focus attention on the development of minimally invasive outpatient procedures with reliable and durable outcomes.Methods
A thorough review of the literature concerning surgical management of genuine stress incontinence was undertaken, with a focus on innovative approaches. These were then assessed in the context of established practice.Discussion
These forces have produced new surgical techniques for genuine stress incontinence and have modified the application of established techniques. In the absence of long-term evaluation, the effectiveness of these innovative procedures remains to be determined relative to more traditional approaches.Conclusion
This review aims to characterize the recent evolution of surgery to correct genuine stress incontinence and place the new techniques in the context of established techniques.