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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3045 records
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Created on : 02 Aug 2014
Modified on : 02 Aug 2014

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Bibliographical entry (without author) :

Diagnosis and management of adult female stress urinary incontinence: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians - European Journal of Obstetrics & Gynecology and Reproductive Biology - Vol. 151, 1 - ISBN: 03012115 - p.14-19

Author(s) :

Fritel, Xavier; Fauconnier, Arnaud; Bader, Georges; Cosson, Michel; Debodinance, Philippe; Deffieux, Xavier; Denys, Pierre; Dompeyre, Philippe; Faltin, Daniel; Fatton, Brigitte; Haab, François; Hermieux, Jean-François; Kerdraon, Jacques; Mares, Pierre; Mellier, Georges; Michel-Laaengh, Nathalie; Nadeau, Cédric; Robain, Gilberte; de Tayrac, Renaud; Jacquetin, Bernard

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Abstract (English)  :

Urinary incontinence is a frequent affliction in women and may be disabling and costly {LE1}. When consulting for urinary incontinence, it is recommended that circumstances, frequency and severity of leaks be specified {Grade B}. The cough test is recommended prior to surgery {Grade C}. Urodynamic investigations are not needed before lower urinary tract rehabilitation {Grade B}. A complete urodynamic investigation is recommended prior to surgery for urinary incontinence {Grade C}. In cases of pure stress urinary incontinence, urodynamic investigations are not essential prior to surgery provided the clinical assessment is fully comprehensive (standardised questionnaire, cough test, bladder diary, post-void residual volume) with concordant results {PC}. It is recommended to start treatment for stress incontinence with pelvic floor muscle training {Grade C}. Bladder training is recommended at first intention in cases with overactive bladder syndrome {Grade C}. For overweight patients, loss of weight improves stress incontinence {LE1}. For surgery, sub-urethral tape (retropubic or transobturator route) is the first-line recommended technique {Grade B}. Sub-urethral tape surgery involves intraoperative risks, postoperative risks and a risk of failure which must be the subject of prior information {Grade A}. Elective caesarean section and systematic episiotomy are not recommended methods of prevention for urinary incontinence {Grade B}. Pelvic floor muscle training is the treatment of first intention for pre- and postnatal urinary incontinence {Grade A}. Prior to any treatment for an elderly woman, it is recommended to screen for urinary infection using a test strip, ask for a bladder diary and measure post-void residual volume {Grade C}. It is recommended to carry out a cough test and look for occult incontinence prior to surgery for pelvic organ prolapse {Grade C}. It is recommended to carry out urodynamic investigations prior to pelvic organ prolapse surgery when there are urinary symptoms or occult urinary incontinence {Grade C}.

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➡ episiotomy

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Import 02/08/2014 — 02 Aug 2014

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