ICS teaching module on urodynamics for lower urinary tract symptoms in men
Aims:: To present the body of evidence about the urodynamic assessment and diagnosis of male lower urinary tract symptoms (LUTS) and to serve as a scientific background review and evidence base for the presentation available on the International Continence Society (ICS) website on Urodynamics in mal...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Continence |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973725000153 |
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| author | Sanjay Sinha Tufan Tarcan John Speich Mauricio Plata Enrico Finazzi-Agro Marcus Drake |
| author_facet | Sanjay Sinha Tufan Tarcan John Speich Mauricio Plata Enrico Finazzi-Agro Marcus Drake |
| author_sort | Sanjay Sinha |
| collection | DOAJ |
| description | Aims:: To present the body of evidence about the urodynamic assessment and diagnosis of male lower urinary tract symptoms (LUTS) and to serve as a scientific background review and evidence base for the presentation available on the International Continence Society (ICS) website on Urodynamics in male LUTS. Methods:: This teaching module was developed by the Urodynamics Committee of the ICS as a clinical practice tool. The module examines the indications, pre-test preparation, urodynamics technique, key findings, and interpretation, of urodynamics in adult men presenting with refractory voiding or storage LUTS. The module is based on evidence, clinical practice guidelines, existing ICS Standardization documents, and consensus formation by the members of the Working Group, and review by the members of the ICS Urodynamics and Standardization Steering Committees. The module is complemented by educational material on the ICS website. Results:: Invasive urodynamics should be considered in select men before surgery to quantify obstruction and the detrusor voiding contraction, as well as identify relevant storage abnormalities that might impact therapeutic strategy or prognosis. Initial evaluation frames the urodynamics question, informs technique, stratifies risk of infection, and provides input for interpretation of results. Adherence to the ICS standard technique of urodynamics and quality control, with clear annotations on the tracings, are crucial. Analysis includes scrutiny of the traces, and calculation of the ICS-Bladder Outflow Obstruction Index and ICS-Detrusor Contraction Index. When indicated, video-urodynamics can be used to locate the site of obstruction. Conclusion:: Urodynamics is useful in select men with LUTS and is usually offered only when invasive therapies are being considered. Combining information from urodynamics with clinical data is recommended. |
| format | Article |
| id | doaj-art-3c857eaaaab24fa9946daf8b9e74ec9d |
| institution | OA Journals |
| issn | 2772-9737 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj-art-3c857eaaaab24fa9946daf8b9e74ec9d2025-08-20T02:37:03ZengElsevierContinence2772-97372025-06-011410175810.1016/j.cont.2025.101758ICS teaching module on urodynamics for lower urinary tract symptoms in menSanjay Sinha0Tufan Tarcan1John Speich2Mauricio Plata3Enrico Finazzi-Agro4Marcus Drake5Department of Urology, Apollo Hospital, Hyderabad, India; Corresponding author.Departments of Urology, Marmara University School of Medicine and Koç University School of Medicine, Istanbul, TurkeyDepartment of Mechanical and Nuclear Engineering, College of Engineering Virginia Commonwealth University, Richmond, VA, USADepartment of Urology Hospital Universitario de la Fundación Santa fe de Bogotá, Bogotá, ColombiaDepartment of Surgical Sciences, Unit of Urology, University of Rome Tor Vergata, Rome, ItalyDepartment of Surgery and Cancer, Imperial College, London, UKAims:: To present the body of evidence about the urodynamic assessment and diagnosis of male lower urinary tract symptoms (LUTS) and to serve as a scientific background review and evidence base for the presentation available on the International Continence Society (ICS) website on Urodynamics in male LUTS. Methods:: This teaching module was developed by the Urodynamics Committee of the ICS as a clinical practice tool. The module examines the indications, pre-test preparation, urodynamics technique, key findings, and interpretation, of urodynamics in adult men presenting with refractory voiding or storage LUTS. The module is based on evidence, clinical practice guidelines, existing ICS Standardization documents, and consensus formation by the members of the Working Group, and review by the members of the ICS Urodynamics and Standardization Steering Committees. The module is complemented by educational material on the ICS website. Results:: Invasive urodynamics should be considered in select men before surgery to quantify obstruction and the detrusor voiding contraction, as well as identify relevant storage abnormalities that might impact therapeutic strategy or prognosis. Initial evaluation frames the urodynamics question, informs technique, stratifies risk of infection, and provides input for interpretation of results. Adherence to the ICS standard technique of urodynamics and quality control, with clear annotations on the tracings, are crucial. Analysis includes scrutiny of the traces, and calculation of the ICS-Bladder Outflow Obstruction Index and ICS-Detrusor Contraction Index. When indicated, video-urodynamics can be used to locate the site of obstruction. Conclusion:: Urodynamics is useful in select men with LUTS and is usually offered only when invasive therapies are being considered. Combining information from urodynamics with clinical data is recommended.http://www.sciencedirect.com/science/article/pii/S2772973725000153Lower urinary tract symptomsMenUrodynamicsProstate surgeryOveractive bladder |
| spellingShingle | Sanjay Sinha Tufan Tarcan John Speich Mauricio Plata Enrico Finazzi-Agro Marcus Drake ICS teaching module on urodynamics for lower urinary tract symptoms in men Continence Lower urinary tract symptoms Men Urodynamics Prostate surgery Overactive bladder |
| title | ICS teaching module on urodynamics for lower urinary tract symptoms in men |
| title_full | ICS teaching module on urodynamics for lower urinary tract symptoms in men |
| title_fullStr | ICS teaching module on urodynamics for lower urinary tract symptoms in men |
| title_full_unstemmed | ICS teaching module on urodynamics for lower urinary tract symptoms in men |
| title_short | ICS teaching module on urodynamics for lower urinary tract symptoms in men |
| title_sort | ics teaching module on urodynamics for lower urinary tract symptoms in men |
| topic | Lower urinary tract symptoms Men Urodynamics Prostate surgery Overactive bladder |
| url | http://www.sciencedirect.com/science/article/pii/S2772973725000153 |
| work_keys_str_mv | AT sanjaysinha icsteachingmoduleonurodynamicsforlowerurinarytractsymptomsinmen AT tufantarcan icsteachingmoduleonurodynamicsforlowerurinarytractsymptomsinmen AT johnspeich icsteachingmoduleonurodynamicsforlowerurinarytractsymptomsinmen AT mauricioplata icsteachingmoduleonurodynamicsforlowerurinarytractsymptomsinmen AT enricofinazziagro icsteachingmoduleonurodynamicsforlowerurinarytractsymptomsinmen AT marcusdrake icsteachingmoduleonurodynamicsforlowerurinarytractsymptomsinmen |