The International Continence Society (ICS) report on the terminology for male lower urinary tract surgery

Abranches-Monteiro, Luis; Hamid, Rizwan; D’Ancona, Carlos Arturo Levi; Alhasso, Ammar; Dmochowski, Roger R.; Ecclestone, Hazel; Haylen, Bernard T.; Mousa, Riyad Al; Onur, Rahmi; Shah, Shahzad; Vasudeva, Pawan; Oelke, Matthias

doi:10.1002/nau.24509

Cited by 8 publications

(6 citation statements)

References 32 publications

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“…There were 5 prospective nonrandomized studies 14,17,18,22,25 and 12 retrospective studies, [9][10][11][12][13]15,16,[19][20][21]23,24 including 1701 DUA and 1993 NC patients. Regarding surgical procedures and in accordance with the ICS (International Continence Society) report on the terminology for male lower urinary tract surgery, 26 there were eight TURP studies, four GreenLight PVP (photoselective vaporization of the prostate; also known as GreenLight laser vaporization of the prostate) studies, two HoLEP studies, one GreenLight PVP/HoLEP study, one Holmium laser incision of the prostate study, and one study did not report the type of surgery. DUA was diagnosed on preoperative pressure/flow study using the bladder contractility index (PdetQmax+5Qmax) less than 100 in 11 studies, Schafer nomogram (weak and very weak bladder contractility) in 5 studies, and PdetQmax of <30 cm H 2 O with Qmax <12 mL/s in the remaining one.…”

Section: Study Characteristics and Quality Assessmentmentioning

confidence: 99%

Functional and safety outcomes after benign prostatic enlargement surgeries in men with detrusor underactivity compared with normal detrusor contractility: Systematic review and meta‐analysis

Wroclawski,

Takemura,

Santos

et al. 2023

Neurourology and Urodynamics

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IntroductionMen with detrusor underactivity (DUA) and concomitant bladder outlet obstruction (BOO) due to benign prostatic enlargement (BPE) may present poorer functional outcomes after surgical desobstruction. This study aimed to evaluate the safety and efficacy of BPE surgery in men with DUA compared with those with normal detrusor contractility (NC).Materials and MethodsThis review was performed according to the 2020 PRISMA framework. A comprehensive literature search was performed until May 7, 2023, using MEDLINE, EMBASE, and Cochrane Database. No date limits were imposed. Only comparative studies were accepted. The primary endpoint was to assess if there was any difference in short‐ and long‐term functional outcomes after BPE surgery in men with DUA and NC. The secondary endpoint was to evaluate the differences in perioperative outcomes and postoperative complications between the two groups. Meta‐analysis was performed using Review Manager (RevMan) software.ResultsThere were 5 prospective nonrandomized studies and 12 retrospective studies, including 1701 DUA and 1993 NC patients. Regarding surgical procedures, there were eight TURP (transurethral resection of the prostate) studies, four GreenLight PVP (photoselective vaporization of the prostate) studies, two HoLEP (Holmium laser enucleation of the prostate) studies, one GreenLight PVP/HoLEP study, one Holmium laser incision of the prostate study, and one study did not report the type of surgery. We did not find a statistically significant difference between the two groups in terms of perioperative outcomes, including postoperative catheterization time, hospitalization time, urinary retention, need to recatheterization, transfusion rate, or urinary tract infections. Also, we found no significant differences in long‐term complications, such as bladder neck stenosis or urethral stenosis. Posttreatment bladder recatheterization and retreatment rate for BPE regrowth could not be evaluated properly, because only one study reported these findings. When we analyzed functional outcomes at 3 months, those with NC had lower International Prostatic Symptom Score (IPSS), lower quality‐of‐life (QoL) score, better maximum flow rate (Qmax), and lower post‐voiding residual (PVR) of urine. These results were maintained at 6 months postoperatively, with exception of PVR that showed no difference. However, at 12 and more than 12 months the functional outcomes became similar regarding IPSS and QoL. There were few data about Qmax and PVR at longer follow‐up.ConclusionIn this meta‐analysis, data suggest that BOO surgical treatment in patients with concomitant BPE and DUA appears to be safe. Despite patients with DUA may present worse functional outcomes in the short postoperative term compared with the NC population, IPSS and QoL scores become comparable again after a longer follow‐up period after surgery.

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Section: Study Characteristics and Quality Assessmentmentioning

confidence: 99%

Functional and safety outcomes after benign prostatic enlargement surgeries in men with detrusor underactivity compared with normal detrusor contractility: Systematic review and meta‐analysis

Wroclawski,

Takemura,

Santos

et al. 2023

Neurourology and Urodynamics

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“…************, † † † † † † † † † † † †,37,74 (NEW) 10.3 Vesicourethral anastomotic stenosis (VAS): Narrowing of the posterior urethra after RP (see Endnote ************). 74 (NEW) (B) Surgical treatment options for urethral stricture disease 82 See Table 4. 84 11.1.2 Prompted voiding: is used to teach people to initiate their own toileting through requests for help and positive reinforcement from caregivers, often done in combination with a scheduled voiding regimen, typically every 2 h. 84 11.1.3 Double voiding: The patient is taught to urinate, relax, and attempt to urinate again.…”

Section: Section 10: Treatments For Urethral Stricture Disease and Related Sexual Dysfunctionsmentioning

confidence: 99%

“…81 (NEW) 9.7 PDE5i: PDE5i might be used to address LUTS/ BPH by inhibition of the PDE5 in the prostate, causing smooth muscle relaxation by a mechanism similar to the one postulated for alpha blockers. (NEW) (B) Surgical treatment options for LUTS/BPH 82 See Table 3.…”

Section: Section 9: Treatments For Luts/bph and Related Sexual Dysfun...mentioning

confidence: 99%

International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

Kocjancic

Chung

Garzon

et al. 2022

Neurourology and Urodynamics

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Introduction:The terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction has not been defined and organized into a clinically based consensus terminology report. The aim of this terminology report is to provide a definitional document within this context that will assist clinical practice and research.Methods: This report combines the input of the members of sexual health in men with LUT and PF Dysfunction working group of the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give coding to definitions. An extensive process of 18 rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus). The Committee retained evidence-based definitions, identified gaps, and updated or discarded outdated definitions. Expert opinions were used when evidence was insufficient or absent. Results: A terminology report for sexual health in men with LUT and PF dysfunction, encompassing 198 (178 NEW) separate definitions, has been

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“…Urinary incontinence is defined by the International Continence Society (ICS) as the involuntary loss of urine. 1 This pathology may be a consequence of an imbalance between the mechanisms necessary for adequate urinary continence, such as an intraurethral pressure greater than the intravesical pressure, the ability to perceive the need to urinate or mechanical problems due to an external agent that controls urination. 2 Urinary incontinence has typically been classified as urgency, stress, or mixed; 3 stress urinary incontinence is the most common form in women, while urgency urinary incontinence is predominant in men.…”

Section: Introductionmentioning

confidence: 99%

Patterns of use of medications used to treat urinary incontinence and potentially inappropriate prescriptions

Valladales‐Restrepo

Bedoya-Arias

Aristizábal-Carmona

et al. 2023

Therapeutic Advances in Urology

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Background: The pharmacological treatment of urinary incontinence (UI) may involve bladder antimuscarinics, which can generate risks in the elderly. Objective: The aim was to determine the treatment patterns of a group of patients with UI and possible potentially inappropriate prescriptions. Design and methods: This was a cross-sectional study that identified prescription patterns of medications for outpatient use in patients with UI between December 2020 and November 2021 based on a population database of members of the Colombian Health System. Patients were identified based on the codes of the international classification of diseases, version-10. Sociodemographic and pharmacological variables were considered. Results: A total of 9855 patients with UI were identified, with a median age of 72 years, and 74.6% were women. Unspecified UI was the most frequent form (83.2%), followed by specified UI (7.9%), stress UI (6.7%), and UI associated with an overactive bladder (2.2%). A total of 37.2% received pharmacological treatment, mainly with bladder antimuscarinics (22.6%), mirabegron (15.6%), and topical estrogens (7.9%). Pharmacological management predominated in UI associated with overactive bladder, in women and in patients between 50 and 79 years of age. Of the patients who received bladder antimuscarinics, 54.5% were 65 years old or older, and 21.5% also had benign prostatic hyperplasia, sicca syndrome, glaucoma, constipation, or dementia. A total of 2.0% of women had been prescribed systemic estrogens and 1.7% had been prescribed peripheral α-adrenergic antagonists. Conclusion: Differences in the prescriptions were found according to the type of UI, sex, and age group. Potentially inappropriate or risky prescriptions were common.

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The International Continence Society (ICS) report on the terminology for male lower urinary tract surgery

Cited by 8 publications

References 32 publications

Functional and safety outcomes after benign prostatic enlargement surgeries in men with detrusor underactivity compared with normal detrusor contractility: Systematic review and meta‐analysis

Functional and safety outcomes after benign prostatic enlargement surgeries in men with detrusor underactivity compared with normal detrusor contractility: Systematic review and meta‐analysis

International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

Patterns of use of medications used to treat urinary incontinence and potentially inappropriate prescriptions

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