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 guidelines expand the remit to include these symptoms and conditions.
To summarise the management of underactive bladder (UAB), bladder outlet obstruction (BOO), and nocturia in females.
The literature search was updated in September 2021 and evidence synthesis was conducted using modified GRADE approach as outlined for all EAU guidelines. A new systematic review on BOO was carried out by the panel for 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 presentation of urological dysfunction. Initial evaluation, diagnosis, and management should be carried out in a structured and logical fashion on the basis of the best available evidence. This guideline serves to present this evidence to practising urologists and other 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 the treatment of underactive bladder, obstruction of the bladder outlet, and nighttime urination.
European urology. 2022 Feb 15 [Epub ahead of print]
Salvador Arlandis, Kari Bø, Hanny Cobussen-Boekhorst, Elisabetta Costantini, Monica de Heide, Fawzy Farag, Jan Groen, Markos Karavitakis, Marie Carmela Lapitan, Margarida Manso, Serenella Monagas Arteaga, Arjun K Nambiar, Aisling Nic An Riogh, Eabhann O'Connor, Muhammad Imran Omar, Benoit Peyronnet, Veronique Phé, Vasileios I Sakalis, Néha Sihra, Lazaros Tzelves, Mary-Lynne van Poelgeest-Pomfret, Tine W L van den Bos, Huub van der Vaart, Christopher K Harding
Urology Department, La Fe University and Polytechnic Hospital, Valencia, Spain. Electronic address: ., Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway., Department of Urology, Radboud UMC, Nijmegen, The Netherlands., Department of Medicine and Surgery, University of Perugia, Perugia, Italy., Bekkenbodem4All, Tiel, The Netherlands., Department of Urology, Sohag University Hospital, Sohag, Egypt; Department of Urology, East Suffolk and North Essex NHS Foundation Trust, Ipswich, UK., Department of Urology, Erasmus Medical Center, Rotterdam, The Netherlands., Department of Urology, Charing Cross Hospital, London, UK., College of Medicine, Philippine General Hospital, National Institutes of Health, University of the Philippines Manila, Manila, Philippines., Department of Urology, Centro Hospitalar Universitário São João, Porto, Portugal., Department of Urology, University Hospital of San Agustín, Avilés, Spain., Department of Urology, Freeman Hospital, Newcastle-upon-Tyne, UK., Department of Urology, Cork University Hospital, Cork, Ireland., Department of Urology, Beaumont Hospital, Dublin, Ireland., University of Aberdeen, Aberdeen, UK., European Association of Urology, Arnhem, The Netherlands; Department of Urology, University of Rennes, Rennes, France., Department of Urology, AP-HP, Pitié-Salpêtrière Academic Hospital, Sorbonne University, Paris, France., Department of Urology, Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, Greece., Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, London, UK., Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, Greece., World Federation of Incontinence and Pelvic Problems, Leiden, The Netherlands., Department of Obstetrics and Gynecology, University Medical Center, Utrecht, The Netherlands., Department of Urology, Freeman Hospital, Newcastle-upon-Tyne, UK; Translational and Clinical Research Institute, Newcastle University, Newcastle-upon-Tyne, UK.