European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence

医学 指南 泌尿科 尿失禁 泌尿系统 下尿路症状 膀胱过度活动 妇科 内科学 病理 替代医学 前列腺 癌症
作者
Arjun Nambiar,Salvador Arlandis,Kari Bö,Hanny Cobussen-Boekhorst,Elisabetta Costantini,Monica de Heide,Fawzy Farag,Jan Groen,Markos Karavitakis,Marie Carmela Lapitan,Margarida Manso,Serenella Monagas Arteaga,Aisling Nic An Ríogh,Eabhann O’Connor,Muhammad Imran Omar,B. Peyronnet,Véronique Phé,Vasileios Sakalis,Néha Sihra,Lazaros Tzelves,Mary-Lynne van Poelgeest-Pomfret,Tine W.L. van den Bos,Huub van der Vaart,Christopher Harding
出处
期刊:European Urology [Elsevier]
卷期号:82 (1): 49-59 被引量:92
标识
DOI:10.1016/j.eururo.2022.01.045
摘要

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.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).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.The important considerations for informing guideline recommendations are presented, along with a summary of all the guideline recommendations.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.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.
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