Arjun K Nambiar1, Salvador Arlandis2, Kari Bø3, Hanny Cobussen-Boekhorst4, Elisabetta Costantini5, Monica de Heide6, Fawzy Farag7, Jan Groen8, Markos Karavitakis9, Marie Carmela Lapitan10, Margarida Manso11, Serenella Monagas Arteaga12, Aisling Nic An Riogh13, Eabhann O'Connor14, Muhammad Imran Omar15, Benoit Peyronnet16, Veronique Phé17, Vasileios I Sakalis18, Néha Sihra19, Lazaros Tzelves20, Mary-Lynne van Poelgeest-Pomfret21, Tine W L van den Bos6, Huub van der Vaart22, Christopher K Harding23. 1. Department of Urology, Freeman Hospital, Newcastle-upon-Tyne, UK. Electronic address: arjunknambiar@gmail.com. 2. Urology Department, La Fe University and Polytechnic Hospital, Valencia, Spain. 3. Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway. 4. Department of Urology, Radboud UMC, Nijmegen, The Netherlands. 5. Department of Medicine and Surgery, University of Perugia, Perugia, Italy. 6. Bekkenbodem4All, Tiel, The Netherlands. 7. Department of Urology, Sohag University Hospital, Sohag, Egypt; Department of Urology, East Suffolk and North Essex NHS Foundation Trust, Ipswich, UK. 8. Department of Urology, Erasmus Medical Center, Rotterdam, The Netherlands. 9. Department of Urology, Charing Cross Hospital, London, UK. 10. College of Medicine, Philippine General Hospital, National Institutes of Health, University of the Philippines Manila, Manila, Philippines. 11. Department of Urology, Centro Hospitalar Universitário São João, Porto, Portugal. 12. Department of Urology, University Hospital of San Agustín, Avilés, Spain. 13. Department of Urology, Cork University Hospital, Cork, Ireland. 14. Department of Urology, Beaumont Hospital, Dublin, Ireland. 15. University of Aberdeen, Aberdeen, UK; European Association of Urology, Arnhem, The Netherlands. 16. Department of Urology, University of Rennes, Rennes, France. 17. Department of Urology, AP-HP, Pitié-Salpêtrière Academic Hospital, Sorbonne University, Paris, France. 18. Department of Urology, Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, Greece. 19. Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London, UK. 20. Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, Greece. 21. World Federation of Incontinence and Pelvic Problems, Leiden, The Netherlands. 22. Department of Obstetrics and Gynecology, University Medical Center, Utrecht, The Netherlands. 23. Department of Urology, Freeman Hospital, Newcastle-upon-Tyne, UK; Translational and Clinical Research Institute, Newcastle University, Newcastle-upon-Tyne, UK.
Abstract
CONTEXT: Female lower urinary tract symptoms (LUTS) are a common presentation in urological practice. Thus far, only a limited number of female LUTS conditions have been included in the European Association of Urology (EAU) guidelines compendium. The new non-neurogenic female LUTS guideline expands the remit to include these symptoms and conditions. OBJECTIVE: To summarise the diagnostic section of the non-neurogenic female LUTS guideline and the management of female overactive bladder (OAB), stress urinary incontinence (SUI), and mixed urinary incontinence (MUI). EVIDENCE ACQUISITION: New literature searches were carried out in September 2021 and evidence synthesis was conducted using the modified GRADE criteria as outlined for all EAU guidelines. A new systematic review (SR) on OAB was carried out by the panel for the purposes of this guideline. EVIDENCE SYNTHESIS: The important considerations for informing guideline recommendations are presented, along with a summary of all the guideline recommendations. CONCLUSIONS: Non-neurogenic female LUTS are an important cause of urological dysfunction. Initial evaluation, diagnosis, and management should be carried out in a structured and logical fashion based on the best available evidence. This guideline serves to present this evidence to health care providers in an easily accessible and digestible format. PATIENT SUMMARY: This report summarises the main recommendations from the European Association of Urology guideline on symptoms and diseases of the female lower urinary tract (bladder and urethra) not associated with neurological disease. We cover recommendations related to diagnosis of these conditions, as well as the treatment of overactive bladder, stress urinary incontinence, and mixed urinary incontinence.
CONTEXT: Female lower urinary tract symptoms (LUTS) are a common presentation in urological practice. Thus far, only a limited number of female LUTS conditions have been included in the European Association of Urology (EAU) guidelines compendium. The new non-neurogenic female LUTS guideline expands the remit to include these symptoms and conditions. OBJECTIVE: To summarise the diagnostic section of the non-neurogenic female LUTS guideline and the management of female overactive bladder (OAB), stress urinary incontinence (SUI), and mixed urinary incontinence (MUI). EVIDENCE ACQUISITION: New literature searches were carried out in September 2021 and evidence synthesis was conducted using the modified GRADE criteria as outlined for all EAU guidelines. A new systematic review (SR) on OAB was carried out by the panel for the purposes of this guideline. EVIDENCE SYNTHESIS: The important considerations for informing guideline recommendations are presented, along with a summary of all the guideline recommendations. CONCLUSIONS: Non-neurogenic female LUTS are an important cause of urological dysfunction. Initial evaluation, diagnosis, and management should be carried out in a structured and logical fashion based on the best available evidence. This guideline serves to present this evidence to health care providers in an easily accessible and digestible format. PATIENT SUMMARY: This report summarises the main recommendations from the European Association of Urology guideline on symptoms and diseases of the female lower urinary tract (bladder and urethra) not associated with neurological disease. We cover recommendations related to diagnosis of these conditions, as well as the treatment of overactive bladder, stress urinary incontinence, and mixed urinary incontinence.
Authors: Aida Jaffar; Noor Azimah Muhammad; Sherina Mohd Sidik; Novia Admodisastro; Rosliza Abdul Manaf; Chai Nien Foo; Nazhatussima Suhaili Journal: Int J Environ Res Public Health Date: 2022-03-17 Impact factor: 3.390