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

被引：228

作者：

Nambiar, Arjun K. ^{[1
]}

Arlandis, Salvador ^{[2
]}

Bo, Kari ^{[3
]}

Cobussen-Boekhorst, Hanny ^{[4
]}

Costantini, Elisabetta ^{[5
]}

de Heide, Monica ^{[6
]}

Farag, Fawzy ^{[7
,8
]}

Groen, Jan ^{[9
]}

Karavitakis, Markos ^{[10
]}

Lapitan, Marie Carmela ^{[11
]}

Manso, Margarida ^{[12
]}

Arteaga, Serenella Monagas ^{[13
]}

Riogh, Aisling Nic An ^{[14
]}

O'Connor, Eabhann ^{[15
]}

Omar, Muhammad Imran ^{[16
,17
]}

Peyronnet, Benoit ^{[18
]}

Phe, Veronique ^{[19
]}

Sakalis, Vasileios, I ^{[20
]}

Sihra, Neha ^{[21
]}

Tzelves, Lazaros ^{[22
]}

van Poelgeest-Pomfret, Mary-Lynne ^{[23
]}

van den Bos, Tine W. L. ^{[6
]}

van der Vaart, Huub ^{[24
]}

Harding, Christopher K. ^{[1
,25
]}

机构：

[1] Freeman Rd Hosp, Dept Urol, Freeman Rd, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England

[2] La Fe Univ & Polytech Hosp, Urol Dept, Valencia, Spain

[3] Norwegian Sch Sport Sci, Dept Sports Med, Oslo, Norway

[4] Radboud UMC, Dept Urol, Nijmegen, Netherlands

[5] Univ Perugia, Dept Med & Surg, Perugia, Italy

[6] Bekkenbodem4All, Tiel, Netherlands

[7] Sohag Univ Hosp, Dept Urol, Sohag, Egypt

[8] East Suffolk & North Essex NHS Fdn Trust, Dept Urol, Ipswich, Suffolk, England

[9] Erasmus MC, Dept Urol, Rotterdam, Netherlands

[10] Charing Cross Hosp, Dept Urol, London, England

[11] Univ Philippines Manila, Philippine Gen Hosp, Coll Med, Natl Inst Hlth, Manila, Philippines

[12] Ctr Hosp Univ Sao Joao, Dept Urol, Porto, Portugal

[13] Univ Hosp San Agustin, Dept Urol, Aviles, Spain

[14] Cork Univ Hosp, Dept Urol, Cork, Ireland

[15] Beaumont Hosp, Dept Urol, Dublin, Ireland

[16] Univ Aberdeen, Aberdeen, Scotland

[17] European Assoc Urol, Arnhem, Netherlands

[18] Univ Rennes, Dept Urol, Rennes, France

[19] Sorbonne Univ, Pitie Salpetriere Acad Hosp, AP HP, Dept Urol, Paris, France

[20] Agios Pavlos Gen Hosp Thessaloniki, Dept Urol, Thessaloniki, Greece

[21] Guys & St Thomas NHS Fdn Trust, Dept Urol, London, England

[22] Natl & Kapodistrian Univ Athens, Sismanogleio Gen Hosp, Dept Urol 2, Athens, Greece

[23] World Federat Incontinence & Pelv Problems, Leiden, Netherlands

[24] Univ Med Ctr, Dept Obstet & Gynecol, Utrecht, Netherlands

[25] Newcastle Univ, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England

来源：

EUROPEAN UROLOGY | 2022年 / 82卷 / 01期

关键词：

Female lower urinary tract symptoms; Diagnostics; Overactive bladder; Urinary incontinence; Stress urinary incontinence; Mixed urinary incontinence; Conservative management; Pharmacological management; Surgical management; European Association of Urology guidelines; FREE VAGINAL TAPE; FESOTERODINE; 8; MG; TERM-FOLLOW-UP; SACRAL NEUROMODULATION; DETRUSOR OVERACTIVITY; VOIDING DYSFUNCTION; URGE INCONTINENCE; DOUBLE-BLIND; WOMEN; EFFICACY;

D O I：

10.1016/j.eururo.2022.01.045

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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. (C) 2022 European Association of Urology. Published by Elsevier B.V. All rights reserved.

引用

页码：49 / 59

页数：11

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