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

• Published in: European urology Vol. 82; no. 1; pp. 49 - 59
• Main Authors: Nambiar, Arjun K., Arlandis, Salvador, Bø, Kari, Cobussen-Boekhorst, Hanny, Costantini, Elisabetta, de Heide, Monica, Farag, Fawzy, Groen, Jan, Karavitakis, Markos, Lapitan, Marie Carmela, Manso, Margarida, Arteaga, Serenella Monagas, Riogh, Aisling Nic An, O'Connor, Eabhann, Omar, Muhammad Imran, Peyronnet, Benoit, Phé, Veronique, Sakalis, Vasileios I., Sihra, Néha, Tzelves, Lazaros, van Poelgeest-Pomfret, Mary-Lynne, van den Bos, Tine W.L., van der Vaart, Huub, Harding, Christopher K.
• Format: Journal Article
• Language: English
• Published: Switzerland Elsevier B.V 01.07.2022
• Subjects: Conservative management; Diagnostics; European Association of Urology guidelines; Female; Female lower urinary tract symptoms; Humans; Lower Urinary Tract Symptoms - diagnosis; Lower Urinary Tract Symptoms - etiology; Lower Urinary Tract Symptoms - therapy; Mixed urinary incontinence; Overactive bladder; Pharmacological management; Stress urinary incontinence; Surgical management; Urinary Bladder; Urinary Bladder, Overactive - complications; Urinary Bladder, Overactive - diagnosis; Urinary Bladder, Overactive - therapy; Urinary incontinence; Urinary Incontinence, Stress - diagnosis; Urinary Incontinence, Stress - therapy; Urinary Incontinence, Urge; Urology; Urinary incontinence; Surgical management; Diagnostics; Conservative management; Female lower urinary tract symptoms; Mixed urinary incontinence; Overactive bladder; Stress urinary incontinence; European Association of Urology guidelines; Pharmacological management
• ISSN: 0302-2838; 1873-7560; 1873-7560
• DOI: 10.1016/j.eururo.2022.01.045

Female lower urinary tract dysfunction is a common reason for women to seek medical attention. Health care providers should endeavour to evaluate and manage these patients on the basis of the best available evidence and recommendations. 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. 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). 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. The important considerations for informing guideline recommendations are presented, along with a summary of all the guideline recommendations. 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. 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.