Treatment options for SUI range from conservative to surgical. Conservative options include pelvic muscle exercises (with or without physical therapy), behavioral modification, continence-support pessaries, and urethral inserts (3). In 2010, approximately 260,000 women in the United States underwent surgical treatment of SUI (4).
Surgical treatment options include anti-incontinence procedures, such as retropubic urethropexies, autologous fascial slings, urethral bulking agents, and synthetic midurethral slings. An evaluation of symptoms of SUI needs to be completed before performing surgery. In this joint document, the American College of Obstetricians and Gynecologists (the College) and the American Urogynecologic Society provide recommendations for the basic evaluation of a patient with symptoms of uncomplicated SUI (Table 1) before primary surgical repair with a midurethral sling.