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Current Approaches for the Diagnosis and Conservative Treatment of Stress Urinary Incontinence - A Guideline of Guidelines

Year 2024, Volume: 19 Issue: 1, 42 - 51, 27.02.2024

Abstract

Urologists utilize evidence-based guidelines organized by urological organizations in the management of stress urinary incontinence (SUI). The objective of this study is to provide guidance in the clinical management of stress urinary incontinence (SUI) by reviewing key guidelines.
We conducted a medical literature analysis in the following databases: PubMed, Medline, Embase, National Guideline Clearinghouse, the National Institute for Health and Care Excellence, and Cochrane Library. We also manually searched the websites of the following international and national societies to identify relevant guidelines for inclusion in this review: the International Consultation on Incontinence, American College of Obstetrics and Gynecology, American Urogynecologic Society, American Urological Association/Society of Urodynamic, Female Pelvic Medicine and Urogenital Reconstruction, National Institute for Health and Care Excellence, European Association of Urology, and Canadian Urological Association. The recommendations in the guidelines are summarized in different areas, including the diagnostic standards of SUI, examination and evaluation methods, and conservative treatment methods. This ‘guideline of guidelines’ presents the similarities and differences between prominent authorities in the management of SUI.

Supporting Institution

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

References

  • 1. Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Reviews in urology. 2004;6(Suppl 3):S3.
  • 2. Yang X, Zhang A, Tan Y, Zhang Z, Zhang J. Critical appraisal of clinical practice guidelines for the diagnosis and treatment of stress urinary incontinence using AGREE II instrument: a systematic review protocol. BMJ open. 2019;9(9):e030299. https://doi.org/10.1136/bmjopen-2019-030299
  • 3. Society AU, Obstetricians ACo, Gynecologists. Committee Opinion: Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment. Female pelvic medicine & reconstructive surgery. 2014;20(5):248-51. https://doi.org/10.1097/SPV.0000000000000113
  • 4. Legendre G, Fritel X, Panjo H, Zins M, Ringa V. Incidence and remission of stress, urge, and mixed urinary incontinence in midlife and older women: a longitudinal cohort study. Neurourology and urodynamics. 2020;39(2):650-7. https://doi.org/10.1002/nau.24237
  • 5. Kenton KS, Smilen SW. Urinary Incontinence in Women. Female Pelvic Medicine and Reconstructive Surgery. 2015;21(6):304-14. https://doi.org/10.1097/SPV.0000000000000231
  • 6. Kalejaiye O, Vij M, Drake MJ. Classification of stress urinary incontinence. World journal of urology. 2015;33(9):1215-20.  https://doi.org/10.1007/s00345-015-1617-1
  • 7. Kopańska M, Torices S, Czech J, Koziara W, Toborek M, Dobrek Ł. Urinary incontinence in women: biofeedback as an innovative treatment method. Therapeutic Advances in Urology. 2020;12:1756287220934359. https://doi.org/10.1177/1756287220934359.
  • 8. Sussman RD, Syan R, Brucker BM. Guideline of guidelines: urinary incontinence in women. BJU international. 2020;125(5):638-55. https://doi.org/10.1111/bju.14927
  • 9. Shekelle PG. Clinical practice guidelines: what’s next? Jama. 2018;320(8):757-8. https://doi.org/10.1001/jama.2018.9660
  • 10. Abrams P, Andersson K-E, Apostolidis A, Birder L, Bliss D, Brubaker L, et al. 6th International Consultation on Incontinence. Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. Neurourology and urodynamics. 2018;37(7):2271-2. https://doi.org/10.1002/nau.23551
  • 11. Bulletins—Gynecology CoP, Society tAU. ACOG Practice Bulletin No. 155: urinary incontinence in women. Obstet Gynecol. 2015;126:e66-81.  https://doi.org/10.1097/AOG.0000000000001148
  • 12. Kobashi KC, Albo ME, Dmochowski RR, Ginsberg DA, Goldman HB, Gomelsky A, et al. Surgical treatment of female stress urinary incontinence: AUA/SUFU guideline. The Journal of urology. 2017;198(4):875-83. https://doi.org/10.1016/j.juro.2017.06.061
  • 13. Lightner DJ, Gomelsky A, Souter L, Vasavada SP. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment 2019. The Journal of urology. 2019;202(3):558-63. https://doi.org/10.1097/JU.0000000000000309
  • 14. Guidance N. Urinary incontinence and pelvic organ prolapse in women: management:© NICE (2019) Urinary incontinence and pelvic organ prolapse in women: Management. BJU Int. 2019;123(5):777-803. https://doi.org/10.1111/bju.14763
  • 15. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. Bmj. 2008;336(7650):924-6. https://doi.org/10.1136/bmj.39489.470347.AD
  • 16. Bettez M, Le Mai Tu KC, Corcos J, Gajewski J, Jolivet M, Bailly G. 2012 update: guidelines for adult urinary incontinence collaborative consensus document for the Canadian Urological Association. Canadian Urological Association Journal. 2012;6(5):354. https://doi.org/10.5489/cuaj.12248
  • 17. Ljungberg B, Albiges L, Bensalah K, Bex A, Giles R, Hora M. EAU Guidelines. Edn. presented at the EAU Annual Congress Amsterdam 2020. Eur Urol. 2020;67(5):913-24.
  • 18. D’Ancona C, Haylen B, Oelke M, Abranches‐Monteiro L, Arnold E, Goldman H, et al. The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourology and urodynamics. 2019;38(2):433-77. https://doi.org/10.1002/nau.23897
  • 19. Obstetricians ACo, Gynecologists. Evaluation of uncomplicated stress urinary incontinence in women before surgical treatment. Committee Opinion No. 603. Obstet Gynecol. 2014;123(6):1403-7. https://doi.org/10.1097/01.AOG.0000450759.34453.31
  • 20. Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? Jama. 2008;299(12):1446-56. https://doi.org/10.1001/jama.299.12.1446
  • 21. Martin J, Williams K, Sutton AJ, Abrams KR, Assassa R. Systematic review and meta‐analysis of methods of diagnostic assessment for urinary incontinence. Neurourology and Urodynamics: Official Journal of the International Continence Society. 2006;25(7):674-83. https://doi.org/10.1002/nau.20340
  • 22. Bandukwala NQ, Gousse AE. Mixed urinary incontinence: what first? Current urology reports. 2015;16(3):9. https://doi.org/10.1007/s11934-015-0483-0
  • 23. Nager CW, Brubaker L, Litman HJ, Zyczynski HM, Varner RE, Amundsen C, et al. A randomized trial of urodynamic testing before stress-incontinence surgery. New England Journal of Medicine. 2012;366(21):1987-97. https://doi.org/10.1056/NEJMoa1113595
  • 24. Robinson BL, Geller EJ, Parnell BA, Crane AK, Jannelli ML, Wells EC, et al. Diagnostic accuracy of visual urethral mobility exam versus Q-Tip test: a randomized crossover trial. American journal of obstetrics and gynecology. 2012;206(6):528. e1-. e6. https://doi.org/10.1016/j.ajog.2012.02.015.
  • 25. Rosier PF, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, et al. International Continence Society Good Urodynamic Practices and Terms 2016: urodynamics, uroflowmetry, cystometry, and pressure‐flow study. Neurourology and urodynamics. 2017;36(5):1243-60. https://doi.org/10.1002/nau.23124
  • 26. Drake MJ, Doumouchtsis SK, Hashim H, Gammie A. Fundamentals of urodynamic practice, based on International Continence Society good urodynamic practices recommendations. Neurourology and urodynamics. 2018;37(S6):S50-S60. https://doi.org/10.1002/nau.23777
  • 27. Dumoulin C, Cacciari LP, Hay‐Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane database of systematic reviews. 2018(10). https://doi.org/10.1002/14651858.CD005654.pub2.
  • 28. Kotecha P, Sahai A, Malde S. Use of duloxetine for postprostatectomy stress urinary incontinence: a systematic review. European Urology Focus. 2021;7(3):618-28. https://doi.org/10.1016/j.euf.2020.06.007

Current Approaches for the Diagnosis and Conservative Treatment of Stress Urinary Incontinence - A Guideline of Guidelines

Year 2024, Volume: 19 Issue: 1, 42 - 51, 27.02.2024

Abstract

Urologists utilize evidence-based guidelines organized by urological organizations in the management of stress urinary incontinence (SUI). The objective of this study is to provide guidance in the clinical management of stress urinary incontinence (SUI) by reviewing key guidelines.
We conducted a medical literature analysis in the following databases: PubMed, Medline, Embase, National Guideline Clearinghouse, the National Institute for Health and Care Excellence, and Cochrane Library. We also manually searched the websites of the following international and national societies to identify relevant guidelines for inclusion in this review: the International Consultation on Incontinence, American College of Obstetrics and Gynecology, American Urogynecologic Society, American Urological Association/Society of Urodynamic, Female Pelvic Medicine and Urogenital Reconstruction, National Institute for Health and Care Excellence, European Association of Urology, and Canadian Urological Association. The recommendations in the guidelines are summarized in different areas, including the diagnostic standards of SUI, examination and evaluation methods, and conservative treatment methods. This ‘guideline of guidelines’ presents the similarities and differences between prominent authorities in the management of SUI.

References

  • 1. Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Reviews in urology. 2004;6(Suppl 3):S3.
  • 2. Yang X, Zhang A, Tan Y, Zhang Z, Zhang J. Critical appraisal of clinical practice guidelines for the diagnosis and treatment of stress urinary incontinence using AGREE II instrument: a systematic review protocol. BMJ open. 2019;9(9):e030299. https://doi.org/10.1136/bmjopen-2019-030299
  • 3. Society AU, Obstetricians ACo, Gynecologists. Committee Opinion: Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment. Female pelvic medicine & reconstructive surgery. 2014;20(5):248-51. https://doi.org/10.1097/SPV.0000000000000113
  • 4. Legendre G, Fritel X, Panjo H, Zins M, Ringa V. Incidence and remission of stress, urge, and mixed urinary incontinence in midlife and older women: a longitudinal cohort study. Neurourology and urodynamics. 2020;39(2):650-7. https://doi.org/10.1002/nau.24237
  • 5. Kenton KS, Smilen SW. Urinary Incontinence in Women. Female Pelvic Medicine and Reconstructive Surgery. 2015;21(6):304-14. https://doi.org/10.1097/SPV.0000000000000231
  • 6. Kalejaiye O, Vij M, Drake MJ. Classification of stress urinary incontinence. World journal of urology. 2015;33(9):1215-20.  https://doi.org/10.1007/s00345-015-1617-1
  • 7. Kopańska M, Torices S, Czech J, Koziara W, Toborek M, Dobrek Ł. Urinary incontinence in women: biofeedback as an innovative treatment method. Therapeutic Advances in Urology. 2020;12:1756287220934359. https://doi.org/10.1177/1756287220934359.
  • 8. Sussman RD, Syan R, Brucker BM. Guideline of guidelines: urinary incontinence in women. BJU international. 2020;125(5):638-55. https://doi.org/10.1111/bju.14927
  • 9. Shekelle PG. Clinical practice guidelines: what’s next? Jama. 2018;320(8):757-8. https://doi.org/10.1001/jama.2018.9660
  • 10. Abrams P, Andersson K-E, Apostolidis A, Birder L, Bliss D, Brubaker L, et al. 6th International Consultation on Incontinence. Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. Neurourology and urodynamics. 2018;37(7):2271-2. https://doi.org/10.1002/nau.23551
  • 11. Bulletins—Gynecology CoP, Society tAU. ACOG Practice Bulletin No. 155: urinary incontinence in women. Obstet Gynecol. 2015;126:e66-81.  https://doi.org/10.1097/AOG.0000000000001148
  • 12. Kobashi KC, Albo ME, Dmochowski RR, Ginsberg DA, Goldman HB, Gomelsky A, et al. Surgical treatment of female stress urinary incontinence: AUA/SUFU guideline. The Journal of urology. 2017;198(4):875-83. https://doi.org/10.1016/j.juro.2017.06.061
  • 13. Lightner DJ, Gomelsky A, Souter L, Vasavada SP. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment 2019. The Journal of urology. 2019;202(3):558-63. https://doi.org/10.1097/JU.0000000000000309
  • 14. Guidance N. Urinary incontinence and pelvic organ prolapse in women: management:© NICE (2019) Urinary incontinence and pelvic organ prolapse in women: Management. BJU Int. 2019;123(5):777-803. https://doi.org/10.1111/bju.14763
  • 15. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. Bmj. 2008;336(7650):924-6. https://doi.org/10.1136/bmj.39489.470347.AD
  • 16. Bettez M, Le Mai Tu KC, Corcos J, Gajewski J, Jolivet M, Bailly G. 2012 update: guidelines for adult urinary incontinence collaborative consensus document for the Canadian Urological Association. Canadian Urological Association Journal. 2012;6(5):354. https://doi.org/10.5489/cuaj.12248
  • 17. Ljungberg B, Albiges L, Bensalah K, Bex A, Giles R, Hora M. EAU Guidelines. Edn. presented at the EAU Annual Congress Amsterdam 2020. Eur Urol. 2020;67(5):913-24.
  • 18. D’Ancona C, Haylen B, Oelke M, Abranches‐Monteiro L, Arnold E, Goldman H, et al. The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourology and urodynamics. 2019;38(2):433-77. https://doi.org/10.1002/nau.23897
  • 19. Obstetricians ACo, Gynecologists. Evaluation of uncomplicated stress urinary incontinence in women before surgical treatment. Committee Opinion No. 603. Obstet Gynecol. 2014;123(6):1403-7. https://doi.org/10.1097/01.AOG.0000450759.34453.31
  • 20. Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? Jama. 2008;299(12):1446-56. https://doi.org/10.1001/jama.299.12.1446
  • 21. Martin J, Williams K, Sutton AJ, Abrams KR, Assassa R. Systematic review and meta‐analysis of methods of diagnostic assessment for urinary incontinence. Neurourology and Urodynamics: Official Journal of the International Continence Society. 2006;25(7):674-83. https://doi.org/10.1002/nau.20340
  • 22. Bandukwala NQ, Gousse AE. Mixed urinary incontinence: what first? Current urology reports. 2015;16(3):9. https://doi.org/10.1007/s11934-015-0483-0
  • 23. Nager CW, Brubaker L, Litman HJ, Zyczynski HM, Varner RE, Amundsen C, et al. A randomized trial of urodynamic testing before stress-incontinence surgery. New England Journal of Medicine. 2012;366(21):1987-97. https://doi.org/10.1056/NEJMoa1113595
  • 24. Robinson BL, Geller EJ, Parnell BA, Crane AK, Jannelli ML, Wells EC, et al. Diagnostic accuracy of visual urethral mobility exam versus Q-Tip test: a randomized crossover trial. American journal of obstetrics and gynecology. 2012;206(6):528. e1-. e6. https://doi.org/10.1016/j.ajog.2012.02.015.
  • 25. Rosier PF, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, et al. International Continence Society Good Urodynamic Practices and Terms 2016: urodynamics, uroflowmetry, cystometry, and pressure‐flow study. Neurourology and urodynamics. 2017;36(5):1243-60. https://doi.org/10.1002/nau.23124
  • 26. Drake MJ, Doumouchtsis SK, Hashim H, Gammie A. Fundamentals of urodynamic practice, based on International Continence Society good urodynamic practices recommendations. Neurourology and urodynamics. 2018;37(S6):S50-S60. https://doi.org/10.1002/nau.23777
  • 27. Dumoulin C, Cacciari LP, Hay‐Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane database of systematic reviews. 2018(10). https://doi.org/10.1002/14651858.CD005654.pub2.
  • 28. Kotecha P, Sahai A, Malde S. Use of duloxetine for postprostatectomy stress urinary incontinence: a systematic review. European Urology Focus. 2021;7(3):618-28. https://doi.org/10.1016/j.euf.2020.06.007
There are 28 citations in total.

Details

Primary Language English
Subjects Urology
Journal Section Reviews
Authors

Bedriye Müge Kaynar 0000-0001-9905-2860

Senad Kalkan 0000-0001-6000-8504

Publication Date February 27, 2024
Published in Issue Year 2024 Volume: 19 Issue: 1

Cite

Vancouver Kaynar BM, Kalkan S. Current Approaches for the Diagnosis and Conservative Treatment of Stress Urinary Incontinence - A Guideline of Guidelines. New J Urol. 2024;19(1):42-51.