At WALS 2025, Dr. Rakesh Durkhure presented an insightful lecture titled “Silence to Suspension,” where he addressed the longstanding issue of stress urinary incontinence (SUI) that too many patients have suffered in silence. Dr. Durkhure emphasized that societal stigma and lack of awareness often lead patients to underreport their symptoms, delaying treatment and diminishing quality of life. He detailed how modern suspension techniques, particularly minimally invasive mid-urethral sling procedures, have revolutionized the approach to SUI by offering effective symptom relief and improved patient outcomes. The talk covered critical aspects such as careful patient selection, comprehensive preoperative evaluation, and refined intraoperative techniques that minimize complications while maximizing long-term success.
Dr. Durkhure also highlighted the importance of a multidisciplinary approach that includes pelvic floor rehabilitation and lifestyle modifications as complementary to surgical intervention. Concluding his presentation, he underscored that breaking the silence around SUI and adopting proactive, evidence-based suspension techniques not only restores physical function but also significantly enhances the overall confidence and quality of life for affected patients. Stress Urinary Incontinence (SUI) is a common yet often underreported condition affecting millions of women worldwide.
It is characterized by involuntary leakage of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, or exercise. At WALS 2025, Dr. Rakesh Durkhure sheds light on the journey from silence to suspension, emphasizing modern approaches to managing SUI. Traditionally, many women suffer in silence due to embarrassment or a lack of awareness about available treatments. However, with advancements in diagnostic techniques and therapeutic interventions, SUI management has evolved significantly.
Conservative measures, including pelvic floor muscle training, lifestyle modifications, and the use of pessaries, remain first-line options. However, for cases where these measures fail, surgical interventions such as mid-urethral sling procedures, autologous fascial slings, and Burch colposuspension offer effective and lasting solutions. Recent innovations in minimally invasive surgery, including laparoscopic and robotic-assisted approaches, have further improved outcomes by reducing surgical trauma, enhancing recovery, and increasing success rates.
The use of synthetic and biologic slings tailored to individual patient needs has also refined treatment strategies. Additionally, regenerative medicine, including stem cell therapy and platelet-rich plasma injections, holds promise for future management. Dr. Durkhure emphasizes the importance of breaking the silence surrounding SUI, encouraging women to seek medical guidance early.
By integrating advanced diagnostic tools, patient-centered approaches, and cutting-edge surgical techniques, the paradigm of SUI management is shifting from concealment to confident recovery. The discussion at WALS 2025 serves as a crucial step in empowering both patients and clinicians in addressing stress urinary incontinence effectively.
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