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Neurobiology of stress urinary incontinence: new insights and implications for treatment

Neurobiology of stress urinary incontinence: new insights and implications for treatment

Journal of Obstetrics and Gynaecology 25(6): 539-543

Stress urinary incontinence (SUI) is a significant problem for millions of women, many of whom remain untreated for years, sometimes for life. One reason for this is the lack of effective pharmacologic therapy. The drugs used for urge incontinence have little or no effect on leakage occurring without detrusor contraction under conditions of increased intra-abdominal pressure. Recent studies suggest that extrinsic urethral sphincter closure may be controlled by enhancing neurotransmission in pudendal pathways. A new agent, duloxetine, which inhibits serotonin-norepinephrine re-uptake in these pathways, is now in clinical trials and appears to be the first effective pharmacologic therapy for SUI.

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Accession: 049670566

Download citation: RISBibTeXText

PMID: 16234136

DOI: 10.1080/01443610500227961

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