Uro-Dynamics Data Use in Clinical Practice in Patients Diagnosed with SUI

Introduction Urinary incontinence is a significant problem in the medical field, with a prevalence of up to 60% of women. Most times it remains underdiagnosed. However, by understanding the types of urinary incontinence and ways to have a thorough medical history, through a physical and paraclinical examination these patients can get a proper diagnosis and can also get medical and surgical treatments. These treatment options include oral medications for stress urinary incontinence, or botulinum toxin nerve stimulation for patients with refractory urgency urinary incontinence or those who cannot tolerate drugs and therapies based on surgical procedures for stress urinary incontinence. Materials and methods In this prospective study, we obtained a sample of 173 patients, the inclusion criteria were the presence of stress urinary incontinence, cystocele or other forms of genital prolapse. The patients were hospitalized and operated in Timisoara County Emergency Clinical Hospital - the Department of Obstetrics and Gynecology between 2012 and 2017. These patients, received through a surgical procedure, in the "hammock" position, a mesh with two fixation arms using inside-out and outside-in trans-obturator sling. Results and Discussion In literature we know a number of factors that were associated with the development of SUI. We will talk of one major risk factor the childbirth - during a vaginal delivery some structures from the pelvic floor may become taut and tense; after birth, in most cases, there is not a full recovery, this can cause in years a lower support of reproductive organs, urinary tract. Conclusions Ultrasound, surgical technique performed - in our case - TVT, surgical technique and results contribute to achieve favorable results, in order to reduce patients' discomfort.