The Urological Society of India Guidelines for the Evaluation and Management of Nonneurogenic Urinary Incontinence in Adults (Executive Summary)

Sinha, Sanjay; Agarwal, Mayank Mohan; Vasudeva, Pawan; Khattar, Nikhil; Madduri, Vijay Kumar Sarma; Yande, Shirish; Sarkar, Kamal; Patel, Anita; Vaze, Ajit; Raina, Shailesh; Jain, Amita; Gupta, Manu; Mishra, Nagendranath

doi:10.4103/iju.iju_125_19

Cited by 11 publications

(10 citation statements)

References 11 publications

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“…The following guidelines were included in this review: European Association of Urology (EAU) [12,13], AUA/Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (AUA/SUFU) [14], International Consultation on Incontinence (ICI) [15], the Canadian Urological Association (CUA) [16], and the Urological Society of India (USI) [17] (refer to Table 1 for details).…”

Section: Resultsmentioning

confidence: 99%

Post‐prostatectomy incontinence: a guideline of guidelines

Bhatt,

Pavithran,

Ilie

et al. 2023

BJU International

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AimTo provide a comprehensive review of guidelines from various professional organisations on the work‐up and management of post‐prostatectomy Incontinence (PPI).Materials and MethodsThe 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).ResultsIn 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.ConclusionThis 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.

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Section: Resultsmentioning

confidence: 99%

Post‐prostatectomy incontinence: a guideline of guidelines

Bhatt,

Pavithran,

Ilie

et al. 2023

BJU International

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“…The guideline panel present an executive summary of this report including their position statements in the journal. [1]…”

Section: Usi Guidelines For Nonneurogenic Urinary Incontinence In Adultsmentioning

confidence: 99%

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Kumar

2019

Indian J Urol

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“…Nearly half of all women will develop SUI [1]. Its prevalence increases with age progressively to reach 39% in the seventh decade of life [2]. The lifetime risk for a female to undergo anti-SUI surgical intervention is 13.6% [3].…”

Section: Introductionmentioning

confidence: 99%

Transobturator Tension-Free Vaginal Flap Operation versus Synthetic Transobturator Tape for Treatment of Female Stress Urinary Incontinence: A Prospective Randomized Study

Mahfouz,

Eid,

Elbadry

et al. 2023

Urol Int

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Introduction: Synthetic mid-urethral slings (MUSs) are the gold standard treatment for female stress urinary incontinence (SUI). Recently, there have been reports of serious adverse events with synthetic tapes such as urethral erosion, vaginal erosion, and mesh infection. Tension-free vaginal flap (TVF) operation has been proven to be successful as a natural alternative to synthetic slings. We propose our novel technique, the transobturator tension-free vaginal flap (TO-TVF), utilizing native vaginal tissue and being suspended via transobturator route. Methods: This prospective study was conducted on 72 female patients with SUI, presenting at Alexandria University Hospital. Patients were randomized into 2 groups, group 1: 37 patients subjected to TO-TVF and group 2: 35 patients to conventional transobturator tape (TOT). In TO-TVF, a rectangular vaginal wall flap is created. A polypropylene monofilament mesh is sutured to each edge of the vaginal flap. This is inserted like conventional outside-in TOT. Patients were subjected to PGI and UDI-6 questionnaires and urodynamic study before and 6 months postoperatively. Results: Both groups showed comparable and significant improvements in questionnaires. Mean operative time for TO-TVF and conventional TOT was 26.31 ± 5.2 min and 21.8 ± 3.1 min, respectively. Cure rate was 89% in group 1 and 91.4% in group 2, which was not statistically significant. No significant intraoperative complications were encountered. We had no cases of vaginal or urethral erosion in both groups. Conclusions: TO-TVF is a cost-effective, feasible, safe, and effective surgical alternative to synthetic MUS. Synthetic mesh tissue anchoring properties are maintained for better adjustment of tension. However, long-term follow-up on a large cohort of patients is still needed.

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The Urological Society of India Guidelines for the Evaluation and Management of Nonneurogenic Urinary Incontinence in Adults (Executive Summary)

Cited by 11 publications

References 11 publications

Post‐prostatectomy incontinence: a guideline of guidelines

Post‐prostatectomy incontinence: a guideline of guidelines

What's inside

Transobturator Tension-Free Vaginal Flap Operation versus Synthetic Transobturator Tape for Treatment of Female Stress Urinary Incontinence: A Prospective Randomized Study

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