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

Nambiar, Arjun; Arlandis, Salvador; Bø, Kari; Cobussen-Boekhorst, Hanny; Costantini, Elisabetta; Heide, Monica de; Farag, Fawzy; Groen, Jan; Karavitakis, Markos; Lapitan, Marie Carmela; Manso, Margarida; Arteaga, Serenella Monagas; Ríogh, Aisling Nic An; O’Connor, Eabhann; Omar, Muhammad Imran; Peyronnet, B.; Phé, Véronique; Sakalis, Vasileios; Sihra, Néha; Tzelves, Lazaros; Poelgeest-Pomfret, Mary-Lynne van; Bos, Tine W.L. van den; Vaart, Huub van der; Harding, Christopher

doi:10.1016/j.eururo.2022.01.045

Cited by 108 publications

(75 citation statements)

References 81 publications

(84 reference statements)

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“…Stress urinary incontinence (SUI) determines of involuntary loss of urine as a result of strenuous physical exertion activities, sneezing, coughing, or laughing [1][2][3][4]. There are many theories about the pathophysiology of stress urinary incontinence.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound imaging of abdominal muscles activity among women with stress urinary incontinence: case-control study in Poland

et al. 2022

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Section: Introductionmentioning

confidence: 99%

Ultrasound imaging of abdominal muscles activity among women with stress urinary incontinence: case-control study in Poland

et al. 2022

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“…Current guidelines suggest conservative treatments, such as lifestyle changes (fluid management, weight loss, reducing tea and coffee consumption) and bladder training and pelvic floor muscle exercises as the first-line treatment of OAB. 11,16,17 Behavioral therapy is a well-known treatment modality that leads to a 50%-80% reduction in symptoms in the cases when consistently applied. 18 Bladder training and pelvic floor muscle training were also found to be beneficial for reducing urge and urinary incontinence symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Two groups of drugs are used for OAB treatment: (1) antimuscarinics and (2) beta-3 agonists. [9][10][11] Efficacy and side effects are the key factors in the drug selection by all physicians. However, once-daily use, flexible dosing, and possibility of increasing the dose are also important for drug choices.…”

Section: Introductionmentioning

confidence: 99%

“…Age of patient, cognitive capabilities, and comorbidities (hypertension, cardiac problems, Alzheimer's disease, dementia, and others) are factors that are also considered in drug selection. 11 Antimuscarinics are recommended as one of the two groups of drugs for pharmacological management of symptomatic OAB. However, efficacy and tolerability are the major concerns that lead to low compliance with these drugs.…”

Section: Introductionmentioning

confidence: 99%

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Clinical preferences and treatment attitudes among urologists, gynecologists, and geriatricians: An independent online questionnaire survey for comparison of treatment choices in the management of overactive bladder

Onur

Bayrak

Çoşkun

et al. 2022

Neurourology and Urodynamics

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Objective Overactive bladder (OAB) is a common clinical problem with associated morbidities both in men and women. Although real‐life management strategies have been examined among urologists (URO), treatment choices may differ between different specialties. In the present study, an online survey was conducted to determine and compare the management strategies and clinical preferences of UROs, obstetricians/gynecologists (OB/GYN), and geriatricians (GER) in the treatment of OAB in their daily practices. Methods Between December 2020 and February 2021, an online questionnaire was sent to URO, OB/GYN, and GER specialists/residents. Current strategies and attitudes toward treatment of OAB in patients <65 years were compared between URO and OB/GYN, whereas the responses were compared between all three specialties in patients ≥65 years. Results A total of 733 specialists/physicians (433 URO, 236 OB/GYN, and 64 GER) completed the online survey. Patients with OAB were more likely to present to URO compared to OB/GYN and GER (p = 0.001). A combination of behavioral modification and pharmacotherapy (antimuscarinics and/or beta‐3 agonists) were chosen for the initial treatment of patients with OAB in both specialties with a significantly higher proportion by URO than by OB/GYN (51.9% vs. 38.1%; p = 0.001). Antimuscarinics were the most frequently prescribed medications by both the URO and OB/GYN specialties (81.8% vs. 78.4%; p = 0.27). Combination therapy with antimuscarinics was preferred more often by URO (91.5% vs. 77.1%; p = 0.001) when no or an inadequate response after initial treatment occurred. Multiple medication use, comorbidities, and risk of cognitive side effects affected medication preference by all specialists, especially by GER (p = 0.018). Conclusions Patients with OAB present to UROs, OB/GYN and GER more frequently compared to other specialities. Although antimuscarinics and beta‐3 adrenoceptor agonists are equally recommended as first‐line pharmacotherapy for OAB, antimuscarinics were preferred for most patients as the initial molecule by all specialties. Beta‐3 agonists are increasingly preferred for elderly patients.

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“…Living with this condition has been negatively affecting women’s quality of life significantly [ 4 ], implying UI is a significant public health problem even during pregnancy. Nevertheless, although pelvic floor muscle training (PFMT) can prevent and treat UI [ 5 , 6 ], pregnant women face several challenges to adhering to PFMT [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Usability of Kegel Exercise Pregnancy Training App (KEPT App) among Pregnant Women with Urinary Incontinence

Jaffar

Muhammad

Sidik

et al. 2022

IJERPH

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Pelvic floor muscle training (PFMT) is crucial to improving urinary incontinence (UI). This study aimed to assess the Kegel Exercise Pregnancy Training (KEPT) app’s feasibility and usability. This is a subgroup analysis from a researcher-blinded, randomised controlled pilot feasibility study among pregnant women with UI. The Malay version of the mHealth App Usability Questionnaire (Interactive) evaluated the app’s usability. Ten pregnant women completed the study, with mean age (SD) of 28.9 years (3.1). The app’s feasibility was rated above average. The app was reported with usable in all domains, (1) system information arrangement (4.98/7.0), (2) usefulness (4.89/7.0) and (3) ease-of-use and satisfaction (5.03/7.0). Education level was negatively correlated with the app’s feasibility (r = −0.81, p < 0.001) and all domains of usability such as ease-of-use (r = −0.66, p = 0.01), system information (r = −0.81, p = 0.001) and usefulness (r = −0.81, p = 0.001). PFMT video was among the app features chosen to be helpful. This study demonstrates that the newly developed user-centred design KEPT app is feasible and usable. However, the future app should provide direct feedback about their exercise techniques to motivate PFMT adherence.

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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

Cited by 108 publications

References 81 publications

Ultrasound imaging of abdominal muscles activity among women with stress urinary incontinence: case-control study in Poland

Ultrasound imaging of abdominal muscles activity among women with stress urinary incontinence: case-control study in Poland

Clinical preferences and treatment attitudes among urologists, gynecologists, and geriatricians: An independent online questionnaire survey for comparison of treatment choices in the management of overactive bladder

Feasibility and Usability of Kegel Exercise Pregnancy Training App (KEPT App) among Pregnant Women with Urinary Incontinence

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