Latest Advances in Urinary Incontinence

Dear Colleagues,

Urinary incontinence is a very prevalent condition in the worldwide population, associated with a detrimental impact on patients’ quality of life and high costs for society.

It has been reported that more than half of all women aged 60 years or more suffer from stress urinary incontinence. In male patients, despite the great developments in surgical technique, urinary incontinence is still one of the major complaints after radical prostatectomy. Overactive bladder syndrome, both idiopatic and neurogenic, is another very bothersome chronic condition associated with urgency incontinence, affecting both genders and deteriorating all aspects of patients’ life. Being age-related, the prevalence of this syndrome is expected to significantly increase.

The diagnostic work-up includes history taking, physical evaluation, questionnaires, and more specialized evaluations, such as urodynamics, endoscopy, and imaging techniques. A search for novel diagnostic tools is ongoing for a more detailed assessment of the lower urinary tract, sphincter function, and pelvic floor.

The therapy has evolved significantly and encompasses several options, ranging from conservative management to various surgical procedures. The availability of many therapeutic modalities has increased the complexity of the decision-making process, requiring continuous updating by healthcare professionals and patient involvement. Despite the wide range of available treatments, there is still no “perfect treatment” for urinary incontinence. Furthermore, female mid-urethral slings have been abandoned in some countries due to bothersome complications in a significant portion of patients. Therefore, there is an urgent need for other minimally invasive options and non-invasive therapies for patients unfit for surgery.

This Special Issue aims to collect high-quality contributions on the latest and most innovative advances in physiopathology, diagnosis, management, and prevention of urinary incontinence. All researchers are invited to contribute original works and reviews (animal research, case reports, and short reviews are not accepted).

Prof. Dr. Emilio Sacco
Dr. Vincenzo Li Marzi
Dr. Riccardo Bientinesi
Guest Editors

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