Carlos D'Ancona1, Bernard Haylen2, Matthias Oelke3, Luis Abranches-Monteiro4, Edwin Arnold5, Howard Goldman6, Rizwan Hamid7, Yukio Homma8, Tom Marcelissen9, Kevin Rademakers9, Alexis Schizas10, Ajay Singla11, Irela Soto12, Vincent Tse13, Stefan de Wachter14, Sender Herschorn15. 1. Universidade Estadual de Campinas, São Paulo, Brazil. 2. University of New South Wales, Sydney, Australia. 3. St. Antonius Hospital, Gronau, Germany. 4. Hospital Beatriz Ângelo Loures, Lisbon, Portugal. 5. University of Otago, Christchurch, New Zealand. 6. Cleveland Clinic, Cleveland, Ohio. 7. University College Hospitals, London, United Kingdom. 8. Japanese Red Cross Medical Centre, Tokyo, Japan. 9. Maastricht University, Maastricht, The Netherlands. 10. Guy's & St Thomas's Hospitals, London, United Kingdom. 11. Massachusetts General Hospital, Harvard, Boston. 12. Complejo Hospitalario, Panama City, Panama. 13. University of Sydney, Sydney, Australia. 14. University of Antwerp, Antwerp, Belgium. 15. University of Toronto, Ontario, Canada.
Abstract
INTRODUCTION: In the development of terminology of the lower urinary tract, due to its increasing complexity, the terminology for male lower urinary tract and pelvic floor symptoms and dysfunction needs to be updated using a male-specific approach and via a clinically-based consensus report. METHODS: This report combines the input of members of the Standardisation Committee of the International Continence Society (ICS) in a Working Group with recognized experts in the field, assisted by many external referees. Appropriate core clinical categories and a subclassification were developed to give a numeric coding to each definition. An extensive process of 22 rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). RESULTS: A Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction, encompassing around 390 separate definitions/descriptors, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in male lower urinary tract and pelvic floor dysfunction. Male-specific imaging (ultrasound, radiology, CT, and MRI) has been a major addition whilst appropriate figures have been included to supplement and help clarify the text. CONCLUSIONS: A consensus-based Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction has been produced aimed at being a significant aid to clinical practice and a stimulus for research.
INTRODUCTION: In the development of terminology of the lower urinary tract, due to its increasing complexity, the terminology for male lower urinary tract and pelvic floor symptoms and dysfunction needs to be updated using a male-specific approach and via a clinically-based consensus report. METHODS: This report combines the input of members of the Standardisation Committee of the International Continence Society (ICS) in a Working Group with recognized experts in the field, assisted by many external referees. Appropriate core clinical categories and a subclassification were developed to give a numeric coding to each definition. An extensive process of 22 rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). RESULTS: A Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction, encompassing around 390 separate definitions/descriptors, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in male lower urinary tract and pelvic floor dysfunction. Male-specific imaging (ultrasound, radiology, CT, and MRI) has been a major addition whilst appropriate figures have been included to supplement and help clarify the text. CONCLUSIONS: A consensus-based Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction has been produced aimed at being a significant aid to clinical practice and a stimulus for research.