U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Stress urinary incontinence

MedGen UID:
22580
•Concept ID:
C0042025
•
Disease or Syndrome
Synonyms: Incontinence, Urinary Stress; Stress Incontinence, Urinary; Urinary Incontinence, Stress; Urinary Stress Incontinence
SNOMED CT: Stress urinary incontinence (22220005); Stress bladder incontinence (22220005); Incontinence when straining (22220005); SI - Stress incontinence (22220005); Urinary stress incontinence (22220005); GSI - Genuine stress incontinence (22220005); Genuine stress incontinence (22220005)
 
HPO: HP:0010992

Definition

Involuntary urine leakage synchronous with exertion, or actions such as sneezing, or coughing. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Stress urinary incontinence

Professional guidelines

PubMed

European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence.
Nambiar AK, Arlandis S, Bø K, Cobussen-Boekhorst H, Costantini E, de Heide M, Farag F, Groen J, Karavitakis M, Lapitan MC, Manso M, Arteaga SM, Riogh ANA, O'Connor E, Omar MI, Peyronnet B, Phé V, Sakalis VI, Sihra N, Tzelves L, van Poelgeest-Pomfret ML, van den Bos TWL, van der Vaart H, Harding CK
Eur Urol 2022 Jul;82(1):49-59. Epub 2022 Feb 23 doi: 10.1016/j.eururo.2022.01.045. PMID: 35216856
Prevalence and Treatment of Postpartum Stress Urinary Incontinence: A Systematic Review.
Gonzales AL, Barnes KL, Qualls CR, Jeppson PC
Female Pelvic Med Reconstr Surg 2021 Jan 1;27(1):e139-e145. doi: 10.1097/SPV.0000000000000866. PMID: 32282522
Management of female stress urinary incontinence: A care pathway and update.
Capobianco G, Madonia M, Morelli S, Dessole F, De Vita D, Cherchi PL, Dessole S
Maturitas 2018 Mar;109:32-38. Epub 2017 Dec 9 doi: 10.1016/j.maturitas.2017.12.008. PMID: 29452779

Recent clinical studies

Etiology

Pelvic floor training to prevent stress urinary incontinence: A systematic review.
Mantilla Toloza SC, Villareal Cogollo AF, Peña García KM
Actas Urol Esp (Engl Ed) 2024 May;48(4):319-327. Epub 2024 Mar 29 doi: 10.1016/j.acuroe.2024.01.007. PMID: 38556125
The Anatomical Pathogenesis of Stress Urinary Incontinence in Women.
Yang X, Wang X, Gao Z, Li L, Lin H, Wang H, Zhou H, Tian D, Zhang Q, Shen J
Medicina (Kaunas) 2022 Dec 20;59(1) doi: 10.3390/medicina59010005. PMID: 36676629Free PMC Article
The male sling for stress urinary incontinence: tips and tricks for success.
Inouye BM, Premo HA, Weil D, Peterson AC
Int Braz J Urol 2021 Nov-Dec;47(6):1131-1135. doi: 10.1590/S1677-5538.IBJU.2020.1122. PMID: 33861057Free PMC Article
The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis.
Falah-Hassani K, Reeves J, Shiri R, Hickling D, McLean L
Int Urogynecol J 2021 Mar;32(3):501-552. Epub 2021 Jan 8 doi: 10.1007/s00192-020-04622-9. PMID: 33416968Free PMC Article
Stress urinary incontinence in women.
Newman DK
Am J Nurs 2003 Aug;103(8):46-55; quiz 55. doi: 10.1097/00000446-200308000-00017. PMID: 12904724

Diagnosis

Updates to Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline (2023).
Kobashi KC, Vasavada S, Bloschichak A, Hermanson L, Kaczmarek J, Kim SK, Kirkby E, Malik R
J Urol 2023 Jun;209(6):1091-1098. Epub 2023 Apr 25 doi: 10.1097/JU.0000000000003435. PMID: 37096580
Stress Incontinence in Women.
Wu JM
N Engl J Med 2021 Jun 24;384(25):2428-2436. doi: 10.1056/NEJMcp1914037. PMID: 34161707
Guideline of guidelines: urinary incontinence in women.
Sussman RD, Syan R, Brucker BM
BJU Int 2020 May;125(5):638-655. Epub 2020 Mar 8 doi: 10.1111/bju.14927. PMID: 31625673
Stress urinary incontinence--an overview.
Gunasekaran K
J Indian Med Assoc 2011 Oct;109(10):721-2. PMID: 22482317
Stress urinary incontinence--1970.
Hodgkinson CP
Am J Obstet Gynecol 1970 Dec 1;108(7):1141-68. doi: 10.1016/0002-9378(70)90467-9. PMID: 4920964

Therapy

Pelvic floor training to prevent stress urinary incontinence: A systematic review.
Mantilla Toloza SC, Villareal Cogollo AF, Peña García KM
Actas Urol Esp (Engl Ed) 2024 May;48(4):319-327. Epub 2024 Mar 29 doi: 10.1016/j.acuroe.2024.01.007. PMID: 38556125
Treatment of urge incontinence in postmenopausal women: A systematic review.
Bapir R, Bhatti KH, Eliwa A, García-Perdomo HA, Gherabi N, Hennessey D, Magri V, Mourmouris P, Ouattara A, Perletti G, Philipraj J, Stamatiou K, Tolani MA, Tzelves L, Trinchieri A, Buchholz N
Arch Ital Urol Androl 2023 Oct 4;95(3):11718. doi: 10.4081/aiua.2023.11718. PMID: 37791545
Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic review.
Malinauskas AP, Bressan EFM, de Melo AMZRP, Brasil CA, Lordêlo P, Torelli L
Arch Gynecol Obstet 2023 Jul;308(1):13-24. Epub 2022 Jul 13 doi: 10.1007/s00404-022-06693-z. PMID: 35831758
Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.
Dumoulin C, Cacciari LP, Hay-Smith EJC
Cochrane Database Syst Rev 2018 Oct 4;10(10):CD005654. doi: 10.1002/14651858.CD005654.pub4. PMID: 30288727Free PMC Article
Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial.
Liu Z, Liu Y, Xu H, He L, Chen Y, Fu L, Li N, Lu Y, Su T, Sun J, Wang J, Yue Z, Zhang W, Zhao J, Zhou Z, Wu J, Zhou K, Ai Y, Zhou J, Pang R, Wang Y, Qin Z, Yan S, Li H, Luo L, Liu B
JAMA 2017 Jun 27;317(24):2493-2501. doi: 10.1001/jama.2017.7220. PMID: 28655016Free PMC Article

Prognosis

Incidence and risk factors of stress urinary incontinence after laparoscopic hysterectomy.
Qian X, Ren D, Gu L, Ye C
BMC Womens Health 2024 Feb 8;24(1):105. doi: 10.1186/s12905-024-02942-2. PMID: 38331777Free PMC Article
Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis.
Moossdorff-Steinhauser HFA, Berghmans BCM, Spaanderman MEA, Bols EMJ
Int Urogynecol J 2021 Jul;32(7):1633-1652. Epub 2021 Jan 13 doi: 10.1007/s00192-020-04636-3. PMID: 33439277Free PMC Article
Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial.
Liu Z, Liu Y, Xu H, He L, Chen Y, Fu L, Li N, Lu Y, Su T, Sun J, Wang J, Yue Z, Zhang W, Zhao J, Zhou Z, Wu J, Zhou K, Ai Y, Zhou J, Pang R, Wang Y, Qin Z, Yan S, Li H, Luo L, Liu B
JAMA 2017 Jun 27;317(24):2493-2501. doi: 10.1001/jama.2017.7220. PMID: 28655016Free PMC Article
Induction of labor with prostaglandins and transient stress urinary incontinence in the puerperium.
Sartore A, Maso G, Guaschino S
Int J Gynaecol Obstet 2006 Jun;93(3):250-1. Epub 2006 May 9 doi: 10.1016/j.ijgo.2006.02.025. PMID: 16687144
Male urinary incontinence.
Kim YH, Frenkl T
Med Health R I 2002 May;85(5):156-9. PMID: 12048749

Clinical prediction guides

A randomized trial comparing vaginal laser therapy and pelvic floor physical therapy for treating women with stress urinary incontinence.
da Fonseca LC, Giarreta FBA, Peterson TV, Locali PKM, Baracat EC, Ferreira EAG, Haddad JM
Neurourol Urodyn 2023 Sep;42(7):1445-1454. Epub 2023 Jul 14 doi: 10.1002/nau.25244. PMID: 37449372
Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic review.
Malinauskas AP, Bressan EFM, de Melo AMZRP, Brasil CA, Lordêlo P, Torelli L
Arch Gynecol Obstet 2023 Jul;308(1):13-24. Epub 2022 Jul 13 doi: 10.1007/s00404-022-06693-z. PMID: 35831758
Narrow Vagina as a Predictor of Obstructive Voiding Dysfunction after Transobturator Sling Surgery.
Romics M, Keszthelyi V, Brodszky V, Molnár PJ, Keszthelyi A, Oláh O, Nyirády P, Majoros A
Urol Int 2021;105(11-12):1092-1098. Epub 2021 Aug 26 doi: 10.1159/000517544. PMID: 34438403
Variation in surgical treatment advice for women with stress urinary incontinence: a study using clinical case vignettes.
Mamza JB, Geary R, El-Hamamsy D, Gurol I, Duckett J, Mahmood T, Monga A, Toozs-Hobson P, Wilson A, Tincello D, Van der Meulen J
Int Urogynecol J 2020 Jun;31(6):1153-1161. Epub 2020 Apr 6 doi: 10.1007/s00192-020-04295-4. PMID: 32253488Free PMC Article
Posthysterectomy vault prolapse.
Barrington JW, Edwards G
Int Urogynecol J Pelvic Floor Dysfunct 2000;11(4):241-5. doi: 10.1007/s001920070033. PMID: 11005477

Recent systematic reviews

Prevalence of urinary incontinence in female CrossFit athletes: a systematic review with meta-analysis.
Dominguez-Antuña E, Diz JC, Suárez-Iglesias D, Ayán C
Int Urogynecol J 2023 Mar;34(3):621-634. Epub 2022 May 30 doi: 10.1007/s00192-022-05244-z. PMID: 35635565Free PMC Article
Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews.
Todhunter-Brown A, Hazelton C, Campbell P, Elders A, Hagen S, McClurg D
Cochrane Database Syst Rev 2022 Sep 2;9(9):CD012337. doi: 10.1002/14651858.CD012337.pub2. PMID: 36053030Free PMC Article
Pelvic Floor Muscle Training for Urinary Incontinence with or without Biofeedback or Electrostimulation in Women: A Systematic Review.
Alouini S, Memic S, Couillandre A
Int J Environ Res Public Health 2022 Feb 27;19(5) doi: 10.3390/ijerph19052789. PMID: 35270480Free PMC Article
European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence.
Nambiar AK, Arlandis S, Bø K, Cobussen-Boekhorst H, Costantini E, de Heide M, Farag F, Groen J, Karavitakis M, Lapitan MC, Manso M, Arteaga SM, Riogh ANA, O'Connor E, Omar MI, Peyronnet B, Phé V, Sakalis VI, Sihra N, Tzelves L, van Poelgeest-Pomfret ML, van den Bos TWL, van der Vaart H, Harding CK
Eur Urol 2022 Jul;82(1):49-59. Epub 2022 Feb 23 doi: 10.1016/j.eururo.2022.01.045. PMID: 35216856
What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis.
García-Sánchez E, Ávila-Gandía V, López-Román J, Martínez-Rodríguez A, Rubio-Arias JÁ
Int J Environ Res Public Health 2019 Nov 8;16(22) doi: 10.3390/ijerph16224358. PMID: 31717291Free PMC Article

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

    Consumer resources

    Reviews

    Related information

    • ClinVar
      Related medical variations
    • MeSH
      Related Medical Subject Headings
    • 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...