Final answer:
Management options for patients with genuine stress incontinence (GSI) due to intrinsic sphincteric deficiency (ISD) primarily involve surgical interventions such as sling procedures, artificial urinary sphincter implantation, and bulking agents.
Step-by-step explanation:
Management options for patients with genuine stress incontinence (GSI) due to intrinsic sphincteric deficiency (ISD) primarily involve surgical interventions.
1. Sling procedures: The placement of a sling around the urethra to provide support and increase sphincter function.
2. Artificial urinary sphincter: Implantation of a device that can control the flow of urine by mimicking the action of the natural sphincter.
3. Bulking agents: Injection of substances around the urethra to increase resistance and improve continence.