Diagnostic evaluation and patient selection
• Role of history, exam, voiding diaries
• Urodynamics, imaging and when they are indicated
• Exclusion of mixed incontinence
Surgical options
Mid-urethral slings (mainstay)
• Retropubic vs transobturator approach
• Outcomes and complications
• Current controversies (mesh issues, guideline updates)
Alternative procedures
• Autologous fascial sling
• Burch colposuspension
• Bulking agents: When to consider
Managing challenges
• Complications (erosion, retention, pain)
• Revision surgery strategies
• Special populations (recurrent SUI, intrinsic sphincter deficiency, irradiated pelvis)