Editing AUA: Female SUI (2023) (section)

== Answers ==

# What is the differential diagnosis of a patient presenting with incontinence?
## Overflow incontinence
## Detrusor overactivity incontinence
## Low bladder compliance
## Stress-induced detrusor overactivity
## Diverticulum
## Urinary fistula
## Ectopic ureter
# What is the recommended workup of a patient presenting with SUI?
## History + physical exam
## Objective demonstration of SUI
## Urinalysis
## PVR
# Take a history of a patient presenting with SUI
## Characterize LUTS
## Degree of bother
## Associated pelvic or GI symptoms
## Gyne/obstetric history, menopausal status
## Fluid intake
## PMHx, PSHx, Meds, allergies
## Previous treatments, treatment expectations
# Describe your physical exam.
## Focused abdominal examination
## Evaluation of urethral mobility (any method)
## Supine and/or standing stress test with comfortably full bladder
## Assessment of pelvic prolapse (any method)
## Assessment of vaginal atrophy/estrogenization status
## Focused neurologic examination
# When should UDS be considered in a patient presenting with SUI?
## History of prior anti-incontinence surgery
## History of prior pelvic organ prolapse surgery
## Mismatch between subjective and objective measures
## Significant voiding dysfunction
## Significant urgency, UUI, overactive bladder (OAB)
## Elevated PVR per clinician judgment
## Unconfirmed SUI
## Neurogenic lower urinary tract dysfunction
# What are non-surgical/surgical treatment options for SUI?
#* Non-surgical:
#*# PFMT
#*# Biofeedback
#*# Pessary
#*# Vaginal inserts
#* Surgical:
#*# Bulking agents
#*# MUS
#*# PVS
#*# Burch-coloposuspension
# What are the potential risks associated with surgical intervention for SUI?
## Voiding dysfunction (de novo or worsening of LUTS)
## Urinary retention
## Dyspareunia
## Persistent/recurrent SUI
# What are the 3 surgical approaches to a MUS? Which approach to the MUS is more likely to be associated with bladder perforation?
## Retropubic, most likely to be associated with bladder perforation
## Transobturator
## Single-incision
# In which patients should a synthetic MUS be avoided?
#* Patients undergoing concomitant
#*# Urethral diverticulectomy
#*# Repair urethrovaginal fistula
#*# Excision urethral mesh
# What is the preferred surgical treatment in a patient with SUI due to intrinsic sphincter deficiency?
#* Autologous PVS