U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Female stress incontinence

MedGen UID:
21346
•Concept ID:
C0038437
•
Disease or Syndrome
Synonyms: Female Stress Incontinence; female stress incontinence; Female urinary stress incontinence; female urinary stress incontinence; stress incontinence - female
SNOMED CT: Female stress incontinence (60241006); Female urinary stress incontinence (60241006)
 
Monarch Initiative: MONDO:0004160

Definition

The involuntary loss of urine in females secondary to insufficient strength of the pelvic floor muscles; this can result from physical changes following pregnancy and childbirth, or as a response to a decrease in estrogen during menopause. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFemale stress incontinence

Professional guidelines

PubMed

Evaluation and Management of Female Stress Urinary Incontinence.
Jefferson FA, Linder BJ
Mayo Clin Proc 2024 Nov;99(11):1802-1814. Epub 2024 Oct 10 doi: 10.1016/j.mayocp.2024.07.003. PMID: 39387798
Update of AUA guideline on the surgical management of female stress urinary incontinence.
Dmochowski RR, Blaivas JM, Gormley EA, Juma S, Karram MM, Lightner DJ, Luber KM, Rovner ES, Staskin DR, Winters JC, Appell RA; Female Stress Urinary Incontinence Update Panel of the American Urological Association Education and Research, Inc, Whetter LE
J Urol 2010 May;183(5):1906-14. Epub 2010 Mar 29 doi: 10.1016/j.juro.2010.02.2369. PMID: 20303102
Dilemmas in the management of female stress incontinence: the role of pelvic floor muscle training.
Konstantinos H, Eleni K, Dimitrios H
Int Urol Nephrol 2006;38(3-4):513-25. Epub 2006 Nov 29 doi: 10.1007/s11255-006-0085-3. PMID: 17136582

Recent clinical studies

Etiology

Evaluation and Management of Female Stress Urinary Incontinence.
Jefferson FA, Linder BJ
Mayo Clin Proc 2024 Nov;99(11):1802-1814. Epub 2024 Oct 10 doi: 10.1016/j.mayocp.2024.07.003. PMID: 39387798
Artificial urinary sphincter surgery in the special populations: neurological, revision, concurrent penile prosthesis and female stress urinary incontinence groups.
Chung E
Asian J Androl 2020 Jan-Feb;22(1):45-50. doi: 10.4103/aja.aja_128_19. PMID: 31793444Free PMC Article
Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence.
Wang S, Lv J, Feng X, Wang G, Lv T
Urology 2016 May;91:64-9. Epub 2016 Feb 24 doi: 10.1016/j.urology.2016.02.027. PMID: 26921645
The TRT Female Remeex System ® for recurrent female stress urinary incontinence: a 5-year follow-up study.
Barrington J, Archer R, Kulkarni M, Forrest A
J Obstet Gynaecol 2013 May;33(4):391-3. doi: 10.3109/01443615.2013.769941. PMID: 23654323
Outlet obstruction after sling surgery.
Tse V, Chan L
BJU Int 2011 Nov;108 Suppl 2:24-8. doi: 10.1111/j.1464-410X.2011.10712.x. PMID: 22085122

Diagnosis

Evaluation and Management of Female Stress Urinary Incontinence.
Jefferson FA, Linder BJ
Mayo Clin Proc 2024 Nov;99(11):1802-1814. Epub 2024 Oct 10 doi: 10.1016/j.mayocp.2024.07.003. PMID: 39387798
Outlet obstruction after sling surgery.
Tse V, Chan L
BJU Int 2011 Nov;108 Suppl 2:24-8. doi: 10.1111/j.1464-410X.2011.10712.x. PMID: 22085122
Urodynamics in the management of female stress incontinence--which test and when?
Patel AK, Chapple CR
Curr Opin Urol 2008 Jul;18(4):359-64. doi: 10.1097/MOU.0b013e3283023c0e. PMID: 18520755
Advances in therapy of female stress incontinence.
Klutke CG
Henry Ford Hosp Med J 1992;40(1-2):118-21. PMID: 1428962
Female stress incontinence. Treatment options and indications.
Stanton SL
Urologe A 1991 Jul;30(4):239-43. PMID: 1926669

Therapy

Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence.
Wang S, Lv J, Feng X, Wang G, Lv T
Urology 2016 May;91:64-9. Epub 2016 Feb 24 doi: 10.1016/j.urology.2016.02.027. PMID: 26921645
Outlet obstruction after sling surgery.
Tse V, Chan L
BJU Int 2011 Nov;108 Suppl 2:24-8. doi: 10.1111/j.1464-410X.2011.10712.x. PMID: 22085122
Urodynamics in the management of female stress incontinence--which test and when?
Patel AK, Chapple CR
Curr Opin Urol 2008 Jul;18(4):359-64. doi: 10.1097/MOU.0b013e3283023c0e. PMID: 18520755
Urethral injections for female stress incontinence.
Appell RA, Dmochowski RR, Herschorn S
BJU Int 2006 Sep;98 Suppl 1:27-30; discussion 31. doi: 10.1111/j.1464-410X.2006.06305.x. PMID: 16911598
beta(2)-adrenergic agonists and pelvic floor exercises for female stress incontinence.
Ishiko O, Ushiroyama T, Saji F, Mitsuhashi Y, Tamura T, Yamamoto K, Kawamura Y, Ogita S
Int J Gynaecol Obstet 2000 Oct;71(1):39-44. doi: 10.1016/s0020-7292(00)00254-x. PMID: 11044540

Prognosis

The TRT Female Remeex System ® for recurrent female stress urinary incontinence: a 5-year follow-up study.
Barrington J, Archer R, Kulkarni M, Forrest A
J Obstet Gynaecol 2013 May;33(4):391-3. doi: 10.3109/01443615.2013.769941. PMID: 23654323
Urodynamics in the management of female stress incontinence--which test and when?
Patel AK, Chapple CR
Curr Opin Urol 2008 Jul;18(4):359-64. doi: 10.1097/MOU.0b013e3283023c0e. PMID: 18520755
Autologous myoblasts and fibroblasts for female stress incontinence: a 1-year follow-up in 123 patients.
Mitterberger M, Marksteiner R, Margreiter E, Pinggera GM, Colleselli D, Frauscher F, Ulmer H, Fussenegger M, Bartsch G, Strasser H
BJU Int 2007 Nov;100(5):1081-5. Epub 2007 Aug 30 doi: 10.1111/j.1464-410X.2007.07119.x. PMID: 17760890
Clinical value of vaginal cones for the management of female stress incontinence.
Kato K, Kondo A
Int Urogynecol J Pelvic Floor Dysfunct 1997;8(5):314-7. doi: 10.1007/BF02765492. PMID: 9557998
Followup of intraurethral collagen for female stress urinary incontinence.
Herschorn S, Steele DJ, Radomski SB
J Urol 1996 Oct;156(4):1305-9. PMID: 8808860

Clinical prediction guides

Evaluation and Management of Female Stress Urinary Incontinence.
Jefferson FA, Linder BJ
Mayo Clin Proc 2024 Nov;99(11):1802-1814. Epub 2024 Oct 10 doi: 10.1016/j.mayocp.2024.07.003. PMID: 39387798
Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence.
Wang S, Lv J, Feng X, Wang G, Lv T
Urology 2016 May;91:64-9. Epub 2016 Feb 24 doi: 10.1016/j.urology.2016.02.027. PMID: 26921645
Urodynamics in the management of female stress incontinence--which test and when?
Patel AK, Chapple CR
Curr Opin Urol 2008 Jul;18(4):359-64. doi: 10.1097/MOU.0b013e3283023c0e. PMID: 18520755
Dilemmas in the management of female stress incontinence: the role of pelvic floor muscle training.
Konstantinos H, Eleni K, Dimitrios H
Int Urol Nephrol 2006;38(3-4):513-25. Epub 2006 Nov 29 doi: 10.1007/s11255-006-0085-3. PMID: 17136582
Clinical value of vaginal cones for the management of female stress incontinence.
Kato K, Kondo A
Int Urogynecol J Pelvic Floor Dysfunct 1997;8(5):314-7. doi: 10.1007/BF02765492. PMID: 9557998

Recent systematic reviews

Complications of Synthetic Midurethral Slings: Is There a Relevant Discrepancy Between Observational Data and Clinical Trials?
Farag F, Osman NI, Pang KH, Castro-Diaz D, Chapple CR, Cruz F, Gamé X, Goldman H, Greenwell T, Hampel C, Scailteux LM, Roovers JP, Welk B, Heesakkers J
Eur Urol Focus 2024 Jul;10(4):535-550. Epub 2023 Nov 14 doi: 10.1016/j.euf.2023.11.002. PMID: 37973453
Biomarkers Implicated in Lower Urinary Tract Symptoms: Systematic Review and Pathway Analyses.
Siddiqui NY, Helfand BT, Andreev VP, Kowalski JT, Bradley MS, Lai HH, Berger MB, Mueller MG, Bickhaus JA, Packiam VT, Fenner D, Gillispie BW, Kirkali Z; Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)
J Urol 2019 Nov;202(5):880-889. Epub 2019 Oct 9 doi: 10.1097/JU.0000000000000257. PMID: 30925127Free PMC Article
Holmium:YAG Laser Ablation for the Management of Lower Urinary Tract Foreign Bodies Following Incontinence Surgery: A Case Series and Systematic Review.
Chan G, Mamut A, Martin P, Welk B
J Endourol 2016 Nov;30(11):1252-1261. Epub 2016 Oct 6 doi: 10.1089/end.2016.0557. PMID: 27604964

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...