2025 Urogynecology for the Advanced Practice Provider-Stress Urinary Incontinence

Video Transcription

Video Summary

The video transcript focuses on stress urinary incontinence (SUI), explaining its basics, factors, and patient-specific cases. SUI is characterized by involuntary urine leakage during actions that increase abdominal pressure, such as coughing or sneezing. It is prevalent, affecting up to 60% of women, with significant impacts on mental health and daily activities.<br /><br />The presentation highlights the importance of thorough patient evaluations, considering factors like their medical history, symptom severity, and lifestyle. Physical exams assess leakage patterns and potential causes, while additional diagnostics like post-void residuals, urine analyses, and possibly urodynamics are suggested for complex cases. <br /><br />Treatment options include patient education, lifestyle changes like weight loss, pelvic floor exercises, and surgical interventions such as urethral bulking and slings. The approach should be personalized, taking into account the patient's age, health status, and treatment preferences. Pessaries might be suitable for certain patients, and pelvic floor physical therapy is emphasized, especially for those with muscle weakness or dysfunction.<br /><br />The discussion touches on the broader impact of SUI and the importance of interdisciplinary approaches. Careful diagnosis and treatment planning, considering both physical and psychosocial factors, are essential for effective management of stress urinary incontinence.

Asset Subtitle

Diagnose stress urinary incontinence
Describe treatment modalities for stress urinary incontinence
Understand patient counseling for stress urinary incontinence

Speaker - Katie Propst, MD

Keywords

stress urinary incontinence

patient evaluation

treatment options

pelvic floor exercises

urethral bulking

interdisciplinary approaches

mental health impact