2024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approach
The Dutch Urological Association (NVU) has revised its guidelines for the treatment of urinary incontinence (UI) in secondary and tertiary care, updating the 2014 guidelines to address specific clinical bottlenecks within the Dutch healthcare system. While grounded in the European guidelines, the Du...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Continence |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973724006325 |
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| author | L.P.W. Witte M.K. Engberts M.A.C. Smits P. Steures A.C. van der Meer M.R. van Balken |
| author_facet | L.P.W. Witte M.K. Engberts M.A.C. Smits P. Steures A.C. van der Meer M.R. van Balken |
| author_sort | L.P.W. Witte |
| collection | DOAJ |
| description | The Dutch Urological Association (NVU) has revised its guidelines for the treatment of urinary incontinence (UI) in secondary and tertiary care, updating the 2014 guidelines to address specific clinical bottlenecks within the Dutch healthcare system. While grounded in the European guidelines, the Dutch version employs a modular approach to ensure relevance and practicality. Key updates cover surgery for women with stress urinary incontinence (SUI) and prolapse, use of bulking agents, male slings for post-prostatectomy incontinence (PPI), intravesical botulinum toxin injections or neuromodulation techniques for refractory urge urinary incontinence (UUI), beta-3 receptor agonists, and pharmacological treatments for the elderly. The guidelines emphasize shared decision-making (SDM), appropriate care settings, and the integration of Patient-Reported Outcome Measures (PROMs) to enhance treatment evaluation and patient outcomes. This multidisciplinary and evidence-based approach aims to improve the quality and effectiveness of urinary incontinence management in the Netherlands |
| format | Article |
| id | doaj-art-286db2450431449fb6af34d205638852 |
| institution | Kabale University |
| issn | 2772-9737 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj-art-286db2450431449fb6af34d2056388522024-12-12T05:24:41ZengElsevierContinence2772-97372024-12-01121016992024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approachL.P.W. Witte0M.K. Engberts1M.A.C. Smits2P. Steures3A.C. van der Meer4M.R. van Balken5Department of Urology, Isala Clinics, Zwolle, The Netherlands; Correspondence to: Department of Urology, Isala Clinics, Dr. van Heesweg 2, 8025 AB Zwolle, The NetherlandsDepartment of Gynecology and Obstetrics, Isala Clinics, Zwolle, The NetherlandsDepartment of Urology, Maastricht University Medical Centre+, Maastricht, The NetherlandsDepartment of Gynecology and Obstetrics, Jeroen Bosch Hospital, ’s Hertogenbosch, The NetherlandsDepartment of Geriatric Medicine, Groene Hart Ziekenhuis, Gouda, The NetherlandsDepartment of Urology, Rijnstate Hospital, Arnhem, The NetherlandsThe Dutch Urological Association (NVU) has revised its guidelines for the treatment of urinary incontinence (UI) in secondary and tertiary care, updating the 2014 guidelines to address specific clinical bottlenecks within the Dutch healthcare system. While grounded in the European guidelines, the Dutch version employs a modular approach to ensure relevance and practicality. Key updates cover surgery for women with stress urinary incontinence (SUI) and prolapse, use of bulking agents, male slings for post-prostatectomy incontinence (PPI), intravesical botulinum toxin injections or neuromodulation techniques for refractory urge urinary incontinence (UUI), beta-3 receptor agonists, and pharmacological treatments for the elderly. The guidelines emphasize shared decision-making (SDM), appropriate care settings, and the integration of Patient-Reported Outcome Measures (PROMs) to enhance treatment evaluation and patient outcomes. This multidisciplinary and evidence-based approach aims to improve the quality and effectiveness of urinary incontinence management in the Netherlandshttp://www.sciencedirect.com/science/article/pii/S2772973724006325GuidelineNeuromodulationOnabotulinum toxin AStress urinary incontinenceUrge urinary incontinencePost-prostatectomy incontinence |
| spellingShingle | L.P.W. Witte M.K. Engberts M.A.C. Smits P. Steures A.C. van der Meer M.R. van Balken 2024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approach Continence Guideline Neuromodulation Onabotulinum toxin A Stress urinary incontinence Urge urinary incontinence Post-prostatectomy incontinence |
| title | 2024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approach |
| title_full | 2024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approach |
| title_fullStr | 2024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approach |
| title_full_unstemmed | 2024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approach |
| title_short | 2024 Revised Dutch guidelines for urinary incontinence: Addressing clinical bottlenecks through a modular approach |
| title_sort | 2024 revised dutch guidelines for urinary incontinence addressing clinical bottlenecks through a modular approach |
| topic | Guideline Neuromodulation Onabotulinum toxin A Stress urinary incontinence Urge urinary incontinence Post-prostatectomy incontinence |
| url | http://www.sciencedirect.com/science/article/pii/S2772973724006325 |
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