PURPOSE: To perform an update on the initial evaluation of male urinary incontinence (MUI).
METHOD: A systematic review was conducted using Pubmed/Medline from 1995 to 2013.
RESULTS: Definition of MUI and its prevalence is variable according its definition and the population. Tools for its evaluation have been mainly studied in female population or only in patients with UI after radical prostatectomy. Objectives of the initial evaluation are to assess the type of incontinence, to evaluate its severity and the bother associated, and define the choice of treatment. Medical history, clinical assessment, and urine analysis are the first steps of the evaluation. Bladder diary, questionnaires and pad test can be useful to evaluate MUI. Post-void residual volume assessment is necessary if lower urinary tract symptoms are associated. Imaging is not routinely used in MUI. A specialist referral and further investigations such as urethrocystoscopy and urodynamics should be considered in case of invasive treatment, recurrent incontinence and specific situations.
CONCLUSIONS: Initial assessment of MUI should be sequential with systematic investigations and optional ones.
Written by:
Mathieu R, Benchikh A, Azzouzi AR, Campeggi A, Cornu JN, Delongchamps NB, Dumonceau O, Faix A, Fourmarier M, Haillot O, Lebdai S, Lukacs B, Misrai V, Robert G, de La Taille A, Descazeaud A. Are you the author?
Service d'urologie, hôpital Pontchaillou, CHU de Rennes, 2, rue Henri-Le-Guillou, 35000 Rennes, France; Service d'urologie, hôpital Bichat-Claude-Bernard, groupe des hôpitaux universitaires Paris-Nord-Val-de-Seine, université Denis-Diderot, Paris-VII, 75018 Paris, France; Service d'urologie, CHU d'Angers, 49933 Angers, France; Service d'urologie, CHU Mondor, Assistance publique-Hôpitaux de Paris, 75000 Paris, France; Service d'urologie, hôpital Tenon, université Paris VI, Assistance publique-Hôpitaux de Paris, 75020 Paris, France; Service d'urologie, CHU Cochin, Assistance publique-Hôpitaux de Paris, 75014 Paris, France; Service d'urologie, clinique Turin, 9, rue de Turin, 75008 Paris, France; Clinique mutualiste Beausoleil, 34070 Montpellier, France; Service d'urologie, centre hospitalier Aix-en-Provence, 13616 Aix-en-Provence, France; Service d'urologie, CHU de Tours, 37044 Tours, France; Service d'urologie, clinique Pasteur, 40, avenue de Lombez, 31300 Toulouse, France; Service d'urologie, université Bordeaux Segalen, CHU de Bordeaux, 2, Victor-Segalen, 33076 Bordeaux cedex, France; Service de chirurgie urologique, hôpital Dupuytren, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
Reference: Prog Urol. 2014 Jun;24(7):421-6.
doi: 10.1016/j.purol.2013.11.011
PubMed Abstract
PMID: 24861681
Article in French.
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