British Association of Urological Surgeons (BAUS) consensus document on post-prostatectomy incontinence-stress urinary incontinence.
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All Authors
Bhatt, NR.
Biers, S.
Sahai, A.
Belal, M.
Kozan, A.
Kujawa, M.
MacLennan, S.
Moore, J.
Nadeem, M.
Osman, N.
LTHT Author
Kozan, Andrei
LTHT Department
Abdominal Medicine & Surgery
Urology
Urology
Non Medic
Publication Date
2025
Item Type
Consensus Development Conference
Journal Article
Practice Guideline
Journal Article
Practice Guideline
Language
Subject
Subject Headings
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.
Journal
BJU International