We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Post‐prostatectomy incontinence: a guideline of guidelines.
- Authors
Bhatt, Nikita R.; Pavithran, Aswathy; Ilie, Cristian; Smith, Lee; Doherty, Ruth
- Abstract
Aim: To provide a comprehensive review of guidelines from various professional organisations on the work‐up and management of post‐prostatectomy Incontinence (PPI). Materials and Methods: The following guidelines were included in this review: European Association of Urology (EAU 2023), American Urological Association/Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (AUA/SUFU 2019), International Consultation on Incontinence (ICI, 2018), the Canadian Urological Association (CUA, 2012) and the Urological Society of India (USI, 2018). Results: In general, the guidelines concur regarding the significance of conducting a comprehensive history and physical examination for patients with post‐prostatectomy incontinence (PPI). However, there are variations among the guidelines concerning the recommended additional investigations. In cases of troublesome PPI, male slings are typically recommended for mild to moderate urinary incontinence (UI), while artificial urinary sphincters are preferred for moderate to severe UI, although the precise definition of this severity remains unclear. The guidelines provided by AUA/SUFU and the ICI have offered suggestions for managing complications or persistent/recurrent UI post‐surgery, though some differences can be observed within these recommendations as well. Conclusion: This is a first of its kind review encompassing Guidelines on PPI spanning over a decade. Although guidelines share overarching principles, nuanced variations persist, posing challenges for clinicians. This compilation consolidates and highlights both the similarities and differences among guidelines, providing a comprehensive overview of PPI diagnosis and management for practitioners. It is our expectation that as more evidence emerges in this and other areas of PPI management, the guidelines will converge and address crucial patient‐centric aspects.
- Subjects
ARTIFICIAL sphincters; URINARY incontinence; AMERICAN Urological Association; URINARY stress incontinence; URODYNAMICS; MEDICAL personnel; RADICAL prostatectomy; DIAGNOSIS
- Publication
BJU International, 2024, Vol 133, Issue 5, p513
- ISSN
1464-4096
- Publication type
Article
- DOI
10.1111/bju.16233