On March 30, 2020, the Danish National Board of Health updated the national clinical guideline on the assessment and treatment of urinary incontinence in women. It is recommended to choose retropubic mid-urethral sling operation for women with involuntary urination who need surgical treatment. It is also provided new data on the effectiveness of pelvic floor training.
Urinary incontinence, also known as involuntary urination, is a common problem in women of all ages, which can significantly affect the quality of life of the individual woman. For many women, the problems of urinary incontinence are a taboo topic, and studies show that on average woman seeks professional advice after seven years from symptoms appear.
The updated guideline recommends that women with involuntary urination associated with cough, sneezing, lifting, and other physical activity (stress urinary incontinence) needed surgical treatment should be offered a retropubic mid-urethral sling procedure rather than transobturator midurethral sling.
New data has been obtained about the complications of using the two types of mid-urethral slings. The working group assessed that chronic leg pain due to transobturator midurethral sling had significantly greater negative consequences for a woman than perioperative bladder perforation due to retropubic midurethral sling.
The guideline has also provided new knowledge about the effect of supervised pelvic floor training as a regular treatment. For women with urinary incontinence, it is recommended the supervised pelvic floor training as it can improve the quality of life.
See the updated clinical guidelines in Danish here.
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