{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:26:56Z","timestamp":1787243216963,"version":"build-2736575974"},"reference-count":7,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"abstract":"<jats:p>Introduction: The aim of the study was to evaluate which treatment women with mild-to-moderate stress urinary incontinence (SUI) chose after failure of conservative treatment. Methods: It is an observational study evaluating the choice of the type of second-line treatment in women with SUI who are nonresponsive to rehabilitation. The women had careful counselling with all the characteristics of both bulking agent and sling regarding: technique, hospitalization time, recovery time, long-term outcomes, complications, failure. Results: Eighty women were evaluated. Women, who choose to perform a bulking agent live alone, have no help at home, do jobs from which they cannot be absent for a long time, and also are exposed to unavoidable physical exertion. Women who choose to perform a sling instead do jobs that do not involve physical exertion and thus can start again quickly, are married, and have help with household chores. Sixty-five percent choose a bulking agent to avoid complications. A total of 74.6% of women who choose slinging are for good long-term results. Conclusion: Careful counselling can be instrumental in deciding on the most appropriate level II treatment, taking into account each patient\u2019s needs and expectations.<\/jats:p>","DOI":"10.1159\/000553149","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:00:57Z","timestamp":1783526457000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Women\u2019s Surgical Preferences in Stress Urinary Incontinence: Sling or Bulking Agent?"],"prefix":"10.1159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5660-1815","authenticated-orcid":false,"given":"Ester","family":"Illiano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Balsamo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Vacilotto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Trama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giordano","family":"Polisini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9639-2886","authenticated-orcid":false,"given":"Elisabetta","family":"Costantini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.03.016"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2022.01.045"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.04.050"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2021.12.006"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.04.026"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-004-1148-6"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-019-04202-6"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000553149","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:02:03Z","timestamp":1787241723000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000553149"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":7,"URL":"https:\/\/doi.org\/10.1159\/000553149","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]}}}