Stress Urinary Incontinence

The most prevalent type of urinary incontinence in women is SUI, which accounts for 40-50% of total incontinence cases. Urge Urinary Incontinence (UUI) (where incontinence occurs following a strong desire to void, and the sufferer does not make it on time to the bathroom) contributes about 25% of the incontinence cases. A mixture of both Stress & Urge incontinence is called Mixed Urinary Incontinence (MUI), and this happens in about 20% of the cases. There are also other types of incontinence, which happen less frequently.

In many cases (up to 80%), women are reluctant to discuss incontinence with their health provider and try and manage themselves by using absorbents, small towels, and avoidance from social events.

Invasive surgical procedures are usually reserved for the more severe forms of SUI, where women leak very often (usually with large amounts of urine) and have a substantial reduction in Quality of Life (QoL). Surgical treatment has a relatively high success rate, but it is an invasive procedure with considerable adverse events and complications. Most SUI sufferers will not require invasive procedures, and may benefit from Pelvic Floor Physiotherapy (PFP) and specific vaginal pessaries. The Poise® Impressa Device (Kimberly-Clark Worldwide Inc.) is a rather new device in this market, where a disposable small size device is inserted within an applicator into the vagina. The device provides sub-urethral support hence reducing or eliminating SUI.

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