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Practice Guideline
. 2025 Jun;135(6):887-901.
doi: 10.1111/bju.16726. Epub 2025 Apr 2.

British Association of Urological Surgeons (BAUS) consensus document on post-prostatectomy incontinence-stress urinary incontinence

Nikita R Bhatt  1 , Suzanne Biers  2 , Arun Sahai  3 , Mohammed Belal  4 , Andy Kozan  5 , Magda Kujawa  6 , Steven MacLennan  7 , James Moore  8 , Mehwash Nadeem  9 , Nadir Osman  10 , Mahreen Pakzad  11 , Ruth Doherty  12 , Hashim Hashim  13 ; BAUS Section of Female, Neurological and Urodynamic Urology
Affiliations
Practice Guideline

British Association of Urological Surgeons (BAUS) consensus document on post-prostatectomy incontinence-stress urinary incontinence

Nikita R Bhatt et al. BJU Int. 2025 Jun.

Abstract

Objectives: To report the British Association of Urological Surgeons (BAUS) consensus document on the assessment and management of post-prostatectomy incontinence-stress urinary incontinence (PPI-SUI).

Methods: We conducted a contemporary literature search to identify the current evidence base. A guideline development group was formed by the Female, Neurological and Urodynamic Urology (FNUU) Section of BAUS to formulate and review the recommendations. Where a lack of evidence was identified, expert opinion of the FNUU Executive Committee and a modified Delphi approach was utilised.

Results: This consensus addresses several knowledge gaps in the current literature on PPI-SUI, in addition to tackling areas not addressed by the current international guidelines, e.g., prostate cancer survivorship. Of the initial draft, the modified Delphi consensus methodology was applied to 65 statements split into seven broad categories: terminology, assessment, conservative management, surgical treatment, perioperative care, complication management, and follow-up after PPI-SUI surgery. This is applicable to general and specialist Urologists worldwide. After three rounds, consensus was achieved with 63/65 statements.

Conclusions: We provide a modified Delphi consensus on the assessment and management of PPI-SUI to help guide and standardise the assessment and management pathway of these patients.

Keywords: artificial urinary sphincter; consensus; male incontinence; male sling; radical prostatectomy; radiotherapy; stress urinary incontinence; surgical management.

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References

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