EAU guidelines on surgical treatment of urinary incontinence

Abstract

Context: The European Association of Urology (EAU) guidelines on urinary incontinence published in March 2012 have been rewritten based on an independent systematic review carried out by the EAU guidelines panel using a sustainable methodology.

Objective: We present a short version here of the full guidelines on the surgical treatment of patients with urinary incontinence, with the aim of dissemination to a wider audience.

Evidence acquisition: Evidence appraisal included a pragmatic review of existing systematic reviews and independent new literature searches based on Population, Intervention, Comparator, Outcome (PICO) questions. The appraisal of papers was carried out by an international panel of experts, who also collaborated in a series of consensus discussions, to develop concise structured evidence summaries and action-based recommendations using a modified Oxford system.

Evidence summary: The full version of the guidance is available online (www.uroweb.org/guidelines/online-guidelines/). The guidance includes algorithms that refer the reader back to the supporting evidence and have greater accessibility in daily clinical practice. Two original meta-analyses were carried out specifically for these guidelines and are included in this report.

Conclusions: These new guidelines present an up-to-date summary of the available evidence, together with clear clinical algorithms and action-based recommendations based on the best available evidence. Where high-level evidence is lacking, they present a consensus of expert panel opinion.

Keywords: Agentes aumentadores; Basado en la práctica; Botulinum toxin A; Bulking agents; Cabestrillos; Cistoplastia; Colposuspension; Colposuspensión; Compression devices; Cystoplasty; Dispositivos de compresión; Estimulación del nervio sacro; European Association of Urology guidelines; Guías clínicas de la Asociación Europea de Urología; Incontinencia urinaria; Incontinencia urinaria de esfuerzo; Incontinencia urinaria de urgencia; Incontinencia urinaria mixta; Mixed urinary incontinence; Practice-based; Sacral nerve stimulation; Slings; Stress urinary incontinence; Surgical treatment; Toxina botulínica A; Tratamiento quirúrgico; Urge urinary incontinence; Urinary incontinence.