Symptomatic stress urinary incontinence not demonstrated clinically: Survey of practice patterns

Thaddeus D. Mamienski, John R. Fischer, Alan Gehrich, Christopher M. Zahn

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The aim of this study was to survey obstetrician/gynecologists and urologists regarding management of women undergoing hysterectomy with complaints of stress urinary incontinence (SUI) not demonstrated clinically. A survey was distributed electronically to military healthcare system OB/GYN and urologist physicians. Overall descriptive data and responses analyzed according to respondent demographics and the presence or absence of pelvic organ prolapse are reported. Two-hundred forty-two responses were obtained (44% response rate). Without prolapse, only 32% would perform an anti-incontinence procedure, more often by urologists than OB/GYN physicians. With prolapse, more respondents would perform an anti-incontinence procedure (32% increasing to 59%, p<0.001). A mid-urethral sling was the most common procedure that was offered. Trainee versus attending status and teaching versus non-teaching responsibilities did not affect responses. There is no consensus among military obstetricians/gynecologists and urologists regarding management of women otherwise undergoing pelvic surgery with subjective SUI. The presence of prolapse influences this decision.

Original languageEnglish (US)
Pages (from-to)39-44
Number of pages6
JournalInternational Urogynecology Journal
Issue number1
StatePublished - Jan 1 2009



  • Military physicians
  • Subjective urinary incontinence
  • Surgical management

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