Women’s Health 2025 Update Managing Menopause and Stress Urinary Incontinence

About this video

• Video Title: Women’s Health 2025 Update: Managing Menopause and Stress Urinary Incontinence
• Channel: RACGP
• Speakers: Dr. Vincent Zet, Dr. Vivian Young, Dr. Joanna Bruce, Serena (RCGP Representative)
• Duration: 00:59:26

Overview

This video provides an update on women's health, focusing on the management of menopause and stress urinary incontinence. It covers the symptoms, long-term health implications of menopause, and various treatment options including hormonal therapy and non-hormonal approaches. The latter half of the video details the causes, diagnosis, and management strategies for stress urinary incontinence, discussing both conservative and surgical interventions.

Key takeaways

• Menopause Management: The video discusses the definition, symptoms (vasomotor, mood, sleep disturbances, genitourinary), and long-term health risks associated with menopause, such as bone loss. It also reviews the history and safety profile of Hormone Replacement Therapy (HRT), emphasizing individualized treatment based on risks and benefits.
• Non-Hormonal Treatments: For menopausal symptoms, options like Cognitive Behavioral Therapy (CBT), hypnosis, SSRIs, SNRIs, and topical vaginal estrogens are presented, with discussions on their efficacy and limitations.
• Stress Urinary Incontinence (SUI): The video explains the complex continence mechanisms in women and identifies urethral hypermobility and sphincter deficiency as key causes of SUI.
• SUI Diagnosis and Management: Diagnosis involves history, examination, and potentially urodynamic studies. Management options range from conservative approaches like pelvic floor exercises (Kegels) and bladder training to surgical interventions such as mid-urethral slings, bulking agents, and artificial urinary sphincters.
• Surgical Options for SUI: Surgical treatments aim to increase urethral resistance. These include mid-urethral mesh slings (retropubic or transobturator), Burch colposuspension, fascial slings, bulking agents, and artificial urinary sphincters for severe cases. The video highlights the importance of discussing risks and benefits of each procedure neutrally with patients.