Women’s Surgical Preferences in Stress Urinary Incontinence: Sling or Bulking Agent?

Introduction The aim of the study is to evaluate what women with mild to moderate stress urinary incontinence choose to perform after failure of conservative treatment Methods It is an observational study evaluating the choice of the type of II-line treatment in women with stress urinary incontinence who are nonresponsive to rehabilitation. The women had careful counselling with all the characteristics of both bulking agent and sling regarding: technique, hospitalization time, recovery time, long term outcomes, complications, failure. Results Eighty women were evaluated. Women who choose to perform a bulking agent live alone, have no help at home, do jobs from which they cannot be absent for a long time, and also are exposed to unavoidable physical exertion.Women who choose to perform a sling instead do jobs that do not involve physical exertion and thus can start again quickly, are married, and have help with household chores.65% choose bulking agent to avoid complications.74.6% of women who choose slinging are for good long-term results Conclusion Careful counselling can be instrumental in deciding on the most appropriate Level II treatment, taking into account each patient's needs and expectations