2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association

Auteurs-es

  • Mathieu Bettez Department of Surgery, Division of Urology, Université de Sherbrooke, Sherbrooke, QC
  • Le Mai Tu
  • Kevin Carlson Department of Surgery, Division of Urology, University of Calgary, Calgary, AB
  • Jacques Corcos Department of Surgery, Division of Urology, McGill University, Montreal, QC
  • Jerzy Gajewski Department of Urology, Dalhousie University, Halifax, NS
  • Martine Jolivet Department of Surgery, Division of Urology, Université de Montréal, Montreal, QC
  • Greg Bailly Department of Urology, Dalhousie University, Halifax, NS

DOI :

https://doi.org/10.5489/cuaj.10

Résumé

Adult urinary incontinence (UI) is a highly prevalentcondition, and one which can have a major impacton patients’ quality of life. It is also a major focus ofa urologist’s workload. As a result, the Canadian UrologicalAssociation (CUA), with the aid of its Guidelines Committee,commissioned the development of a practice guideline documentin 2005 first authored by Dr. Jacques Corcos. As perthe CUA Guidelines Committee’s mandate, all guidelinesare subject to revision after 5 years.

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Biographie de l'auteur-e

Mathieu Bettez, Department of Surgery, Division of Urology, Université de Sherbrooke, Sherbrooke, QC

Department of Surgery, Division of Urology, Université de Sherbrooke, Sherbrooke, QC

Références

The Canadian continence foundation. Incontinence: A Canadian perspective; 2007. http://www.canadiancontinence.

ca/pdf/Research_paper_August2007.pdf (Accessed September 10, 2012).

Abrams P, Andersson KE, Birder L, et al. Fourth International Consultation on Incontinence Recommendations

of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ

prolapse, and fecal incontinence. Neurourol Urodyn 2010;29:213-40. http://dx.doi.org/10.1002/

nau.20870

Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/

International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction.

Neurourol Urodyn 2010;29:4-20.

Herschorn S, Gajewski J, Schulz J, et al. A population-based study of urinary symptoms and incontinence:

the Canadian Urinary Bladder Survey. BJU Int 2008;101:52-8.

Lee JY, Kim HW, Lee SJ, et al. Comparison of doxazosin with or without tolterodine in men with symptomatic

bladder outlet obstruction and an overactive bladder. BJU Int 2004;94:817-20. http://dx.doi.

org/10.1111/j.1464-410X.2004.05039.x

Welk BK, Herschorn S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary

sling designs and outcomes. BJU Int 2012;109:328-44. http://dx.doi.org/10.1111/j.1464-

X.2010.10502.x. Epub 2011 Oct 17.

Herschorn S, Bruschini H, Comiter C, et al. Surgical treatment of stress incontinence in men. Neurourol

Urodyn 2010;29:179-90. http://dx.doi.org/10.1002/nau.20844

Porena M, Mearini E, Mearini L, et al. Voiding dysfunction after radical retropubic prostatectomy: more

than external urethral sphincter deficiency. Eur Urol 2007;52:38-45. http://dx.doi.org/10.1016/j.

eururo.2007.03.051

Bauer RM, Gozzi C, Hubner W, et al. Contemporary management of postprostatectomy incontinence. Eur

Urol 2011;59:985-96. http://dx.doi.org/10.1016/j.eururo.2011.03.020

Ficarra V, Novara G, Artibani W, et al. Retropubic, laparoscopic, and robot-assisted radical prostatectomy:

a systematic review and cumulative analysis of comparative studies. Eur Urol 2009;55:1037-63. http://

dx.doi.org/10.1016/j.eururo.2009.01.036

Bauer RM, Bastian PJ, Gozzi C, et al. Postprostatectomy incontinence: all about diagnosis and management.

Eur Urol 2009;55:322-33. http://dx.doi.org/10.1016/j.eururo.2008.10.029

The Canadian Agency for Drugs and Technologies in Health. http://www.cadth.ca (Accessed September

, 2012).

Offermans MP, Du Moulin MF, Hamers JP, et al. Prevalence of urinary incontinence and associated risk

factors in nursing home residents: a systematic review. Neurourol Urodyn 2009;28:288-94. http://

dx.doi.org/10.1002/nau.20668

DuBeau CE. Beyond the bladder: management of urinary incontinence in older women. Clin Obstet Gynecol

;50:720-34. http://dx.doi.org/10.1097/GRF.0b013e3180d0a4e7

DuBeau CE, Kuchel GA, Johnson T 2nd, et al. Incontinence in the frail elderly: report from the 4th

International Consultation on Incontinence. Neurourol Urodyn 2010;29:165-78. http://dx.doi.

org/10.1002/nau.20842

Goode PS, Burgio KL, Richter HE, et al. Incontinence in older women. Jama 2010;303:2172-81. http://

dx.doi.org/10.1001/jama.2010.749

Resnick NM, Yalla SV. Detrusor hyperactivity with impaired contractile function. An unrecognized but common

cause of incontinence in elderly patients. JAMA 1987;257:3076-81. http://dx.doi.org/10.1001/

jama.1987.03390220074024

Ghoniem G, Stanford E, Kenton K, et al. Evaluation and outcome measures in the treatment of female

urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and

clinical practice. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:5-33. http://dx.doi.org/10.1007/

s00192-007-0495-5

Fritel X, Fauconnier A, Bader G, et al. Diagnosis and management of adult female stress urinary incontinence:

guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. Eur

J Obstet Gynecol Reprod Biol 2010;151:14-9. http://dx.doi.org/10.1016/j.ejogrb.2010.02.041

Thuroff JW, Abrams P, Andersson KE, et al. EAU guidelines on urinary incontinence. Eur Urol 2011;59:387-

http://dx.doi.org/10.1016/j.eururo.2010.11.021

Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, et al. What type of urinary incontinence does this woman

have? JAMA 2008;299:1446-56. http://dx.doi.org/10.1001/jama.299.12.1446

Amir B, Farrell SA. SOGC Committee opinion on urodynamics testing. J Obstet Gynaecol Can 2008;30:717-27.

Azzouzi AR, Ballereau C, Desgranchamps F, et al. [Management of male urinary incontinence after radical

prostatectomy (CTMH AFU 2006-1/5): incidence and role of urodynamic assessment and electromyography].

Prog Urol 2008;18:14-8. http://dx.doi.org/10.1016/j.purol.2007.10.009

Gibbs CF, Johnson TM 2nd, Ouslander JG. Office management of geriatric urinary incontinence. Am J Med

;120:211-20. http://dx.doi.org/10.1016/j.amjmed.2006.03.044

Resnick NM. An 89-year-old woman with urinary incontinence. JAMA 1996;276:1832-40. http://dx.doi.

org/10.1001/jama.1996.03540220056031

Nygaard I. Clinical practice. Idiopathic urgency urinary incontinence. N Engl J Med 2010;363:1156-62.

http://dx.doi.org/10.1056/NEJMcp1003849

Smith AL, Wein AJ. Urinary incontinence: pharmacotherapy options. Ann Med 2011;43:461-76. http://

dx.doi.org/10.3109/07853890.2011.564203

Kay G, Crook T, Rekeda L, et al. Differential effects of the antimuscarinic agents darifenacin and oxybutynin

ER on memory in older subjects. Eur Urol 2006;50:317-26. http://dx.doi.org/10.1016/j.

eururo.2006.03.057

Cardozo L. Systematic review of overactive bladder therapy in females. Can Urol Assoc J 2011;5:S139-42.

http://dx.doi.org/10.5489/cuaj.11185

Wagg AS, Cardozo L, Chapple C, et al. Overactive bladder syndrome in older people. BJU Int 2007;99:502-

http://dx.doi.org/10.1111/j.1464-410X.2006.06677.x

Tyagi P, Tyagi V, Chancellor M. Mirabegron: a safety review. Expert Opin Drug Saf 2011;10:287-94.

http://dx.doi.org/10.1517/14740338.2011.542146

Cartwright R, Renganathan A, Cardozo L. Current management of overactive bladder. Curr Opin Obstet

Gynecol 2008;20:489-95. http://dx.doi.org/10.1097/GCO.0b013e32830fe38c

Rovner E, Kennelly M, Schulte-Baukloh H, et al. Urodynamic results and clinical outcomes with intradetrusor

injections of onabotulinumtoxinA in a randomized, placebo-controlled dose-finding study in idiopathic

overactive bladder. Neurourol Urodyn 2011;30:556-62. http://dx.doi.org/10.1002/nau.21021

Smith CP. Botox(R) in urology--will it become standard of care for urge urinary incontinence? J Urol

;184:2235-6. http://dx.doi.org/10.1016/j.juro.2010.09.050

Apostolidis A. Neuromodulation for intractable OAB. Neurourol Urodyn 2011;30:766-70. http://dx.doi.

org/10.1002/nau.21123

Dmochowski R, Chapple C, Nitti VW, et al. Efficacy and safety of onabotulinumtoxinA for idiopathic overactive

bladder: a double-blind, placebo controlled, randomized, dose ranging trial. J Urol 2010;184:2416-

http://dx.doi.org/10.1016/j.juro.2010.08.021

Rickey LM, Kenton K. Botulinum toxin: new option for refractory lower urinary tract symptoms in women.

Clin Obstet Gynecol 2008;51:176-86. http://dx.doi.org/10.1097/GRF.0b013e3181621fd2

Al-zahrani AA, Elzayat EA, Gajewski JB. Long-term outcome and surgical interventions after sacral neuromodulation

implant for lower urinary tract symptoms: 14-year experience at 1 center. J Urol 2011;185:981-6.

http://dx.doi.org/10.1016/j.juro.2010.10.054

Yamanishi T, Kamai T, Yoshida K. Neuromodulation for the treatment of urinary incontinence. Int J Urol

;15:665-72. http://dx.doi.org/10.1111/j.1442-2042.2008.02080.x

Herbison GP, Arnold EP. Sacral neuromodulation with implanted devices for urinary storage and voiding

dysfunction in adults. Cochrane Database Syst Rev 2009:CD004202.

Ridout AE, Yoong W. Tibial nerve stimulation for overactive bladder syndrome unresponsive to medical

therapy. J Obstet Gynaecol 2010;30:111-4. http://dx.doi.org/10.3109/01443610903428922

Peters KM, Carrico DJ, Perez-Marrero RA, et al. Randomized trial of percutaneous tibial nerve stimulation

versus Sham efficacy in the treatment of overactive bladder syndrome: results from the SUmiT trial. J

Urol 2010;183:1438-43. http://dx.doi.org/10.1016/j.juro.2009.12.036

Occhino JA, Siegel SW. Sacral nerve modulation in overactive bladder. Curr Urol Rep 2010;11:348-52.

http://dx.doi.org/10.1007/s11934-010-0132-6

Chapple C. Systematic review of therapy for men with overactive bladder. Can Urol Assoc J 2011;5:S143-5.

http://dx.doi.org/10.5489/cuaj.11186

Athanasopoulos A, Chapple C, Fowler C, et al. The role of antimuscarinics in the management of men

with symptoms of overactive bladder associated with concomitant bladder outlet obstruction: an update.

Eur Urol 2011;60:94-105. http://dx.doi.org/10.1016/j.eururo.2011.03.054

Ng CK, Gonzalez RR, Te AE. Refractory overactive bladder in men: update on novel therapies. Curr Urol

Rep 2006;7:456-61. http://dx.doi.org/10.1007/s11934-006-0054-5

Herschorn S, Pommerville P, Stothers L, et al. Tolerability of solifenacin and oxybutynin immediate release

in older (> 65 years) and younger (= 65 years) patients with overactive bladder: sub - analysis from

a Canadian, randomized, double-blind study. Curr Med Res Opin 2011;27:375-82. http://dx.doi.org/

1185/03007995.2010.541433

Taylor JA 3rd, Kuchel GA. Detrusor underactivity: Clinical features and pathogenesis of an underdiagnosed

geriatric condition. J Am Geriatr Soc 2006;54:1920-32. http://dx.doi.org/10.1111/j.1532-

2006.00917.x

Shamliyan TA, Kane RL, Wyman J, et al. Systematic review: randomized, controlled trials of nonsurgical

treatments for urinary incontinence in women. Ann Intern Med 2008;148:459-73.

Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments,

for urinary incontinence in women. Cochrane Database Syst Rev 2010:CD005654.

Nager CW, Richter HE, Nygaard I, et al. Incontinence pessaries: size, POPQ measures, and successful

fitting. Int Urogynecol J Pelvic Floor Dysfunct 2009;20:1023-8. http://dx.doi.org/10.1007/s00192-

-0866-1

Richter HE, Burgio KL, Brubaker L, et al. Continence pessary compared with behavioral therapy or combined

therapy for stress incontinence: a randomized controlled trial. Obstet Gynecol 2010;115:609-17. http://

dx.doi.org/10.1097/AOG.0b013e3181d055d4

Lapitan MC, Cody JD, Grant A. Open retropubic colposuspension for urinary incontinence in women.

Cochrane Database Syst Rev 2009:CD002912.

Guerrero KL, Emery SJ, Wareham K, et al. A randomised controlled trial comparing TVT, Pelvicol and

autologous fascial slings for the treatment of stress urinary incontinence in women. BJOG 2010;117:1493-

http://dx.doi.org/10.1111/j.1471-0528.2010.02696.x

Albo ME, Richter HE, Brubaker L, et al. Burch colposuspension versus fascial sling to reduce urinary

stress incontinence. N Engl J Med 2007;356:2143-55. http://dx.doi.org/10.1056/NEJMoa070416

Richter HE, Albo ME, Zyczynski HM, et al. Retropubic versus transobturator midurethral slings for stress

incontinence. N Engl J Med 2010;362:2066-76. http://dx.doi.org/10.1056/NEJMoa0912658

Novara G, Artibani W, Barber MD, et al. Updated systematic review and meta-analysis of the comparative

data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment

of female stress urinary incontinence. Eur Urol 2010;58:218-38. http://dx.doi.org/10.1016/j.

eururo.2010.04.022

Ross S, Robert M, Swaby C, et al. Transobturator tape compared with tension-free vaginal tape for

stress incontinence: a randomized controlled trial. Obstet Gynecol 2009;114:1287-94. http://dx.doi.

org/10.1097/AOG.0b013e3181c2a151

Dmochowski RR, Blaivas JM, Gormley EA, et al. Update of AUA guideline on the surgical management

of female stress urinary incontinence. J Urol 2010;183:1906-14. http://dx.doi.org/10.1016/j.

juro.2010.02.2369

Walsh CA. TVT-Secur mini-sling for stress urinary incontinence: a review of outcomes at 12 months. BJU

Int 2011;108:652-7.

Giri SK, Hickey JP, Sil D, et al. The long-term results of pubovaginal sling surgery using acellular crosslinked

porcine dermis in the treatment of urodynamic stress incontinence. J Urol 2006;175:1788-92;

discussion 93.

Cerruto MA, Artibani W. Transobturator versus retropubic synthetic slings: comparative efficacy and safety.

Curr Opin Urol 2011;21:275-80. http://dx.doi.org/10.1097/MOU.0b013e3283476edb

Lapitan MC, Cody JD, Grant A. Open retropubic colposuspension for urinary incontinence in women: a short

version Cochrane review. Neurourol Urodyn 2009;28:472-80. http://dx.doi.org/10.1002/nau.20780

Centemero A, Rigatti L, Giraudo D, et al. Preoperative pelvic floor muscle exercise for early continence

after radical prostatectomy: a randomised controlled study. Eur Urol 2010;57:1039-43. http://dx.doi.

org/10.1016/j.eururo.2010.02.028

CUAJ • October 2012 • Volume 6, Issue 5 363

Canadian Urological Association Scholarship Fund (CUASF)

AWARDS FOR 2012

CUASF was established in 1973 as a means of supporting promising Canadian urologic researchers and therefore to

facilitate Canadian Urology research productivity. This early career award plays a vital role within our organization,

enabling young clinical researcher to get their foot in the door with respect to peer-reviewed support and financial backing at a critical

point in their careers. This past year we had some outstanding young investigators apply for the CUASF and the committee has

awarded 4 new scholarships:

• Matthew Eric Hyndman – University of Calgary

NMR based Metabolomic Assessment of Prostate cancer

• Girish S. Kulkarni – University of Toronto

Avoidance in Patients At Risk For Prostate Cancer and in Patients With Low Risk Prostate Cancer: Developing Tools for

Personalized Medicine

• Nicholas E. Power – University of Western Ontario

The Prognostic Role of Fractal Geometry in Renal Cell Carcinoma

• Frank Papanikolaou – Credit Valley Hospital

Community award

A Study to Identify the Prevalence of, Risk Factors for, and Effect of Alternative Anti-microbial Administration in Patients

who Carry Ciprofloxin Resistant Enteric Organisms in a Population of Patients Undergoing Transrectal Biopsy of Prostate

We are also very pleased to highlight the recent collaboration with Astellas Pharma Canada and the CUASF in developing a CUAAstellas

Research Grant. This program, separate from the CUASF scholarship awards, was developed to support peer-reviewed

research that promotes excellence in Urology research with the ultimate goal of improving patient care. See page 352 for 2013

Grant information. The recipients of this Grant are:

• Ben Chew – University of British Columbia

Signaling Hedgehog Pathway and Ureteral Peristalsis and Stents

• Blaine Welk – University of Western Ontario

The Development and Validation of a Neurogenic Bladder Symptom Score for Use in Clinical Study

• Alexandre Zlotta – University of Toronto

A Non-Invasive Epigenetic Urinary Biomarker Panel for the Early Detection of Bladder Cancer

NEXT DEADLINE: MARCH 1, 2013

http://www.cua.org/training_and_scholarships_e.asp

CUA Guideline: Urinary incontinence

Burgio KL, Goode PS, Urban DA, et al. Preoperative biofeedback assisted behavioral training to decrease

post-prostatectomy incontinence: a randomized, controlled trial. J Urol 2006;175:196-201. http://

dx.doi.org/10.1016/S0022-5347(05)00047-9

Goode PS, Burgio KL, Johnson TM 2nd, et al. Behavioral therapy with or without biofeedback and pelvic

floor electrical stimulation for persistent postprostatectomy incontinence: a randomized controlled trial.

JAMA 2011;305:151-9. http://dx.doi.org/10.1001/jama.2010.1972

Welk BK, Herschorn S. Are male slings for post-prostatectomy incontinence a valid option? Curr Opin Urol

;20:465-70. http://dx.doi.org/10.1097/MOU.0b013e32833ecd09

Saussine C, Azzouzi AR, Ballereau C, et al. [Management of male urinary incontinence after radical

prostatectomy (CTMH AFU 2006-3/5): place of periurethral balloon and suburethral tape]. Prog Urol

;18:23-8. http://dx.doi.org/10.1016/j.purol.2007.10.010

Khullar V, Cardozo L, Dmochowski R. Mixed incontinence: current evidence and future perspectives.

Neurourol Urodyn 2010;29:618-22. http://dx.doi.org/10.1002/nau.20907

Sajadi KP, Vasavada SP. Overactive bladder after sling surgery. Curr Urol Rep 2010;11:366-71. http://

dx.doi.org/10.1007/s11934-010-0136-2

Murray S, Lemack GE. Overactive bladder and mixed incontinence. Curr Urol Rep 2010;11:385-92.

http://dx.doi.org/10.1007/s11934-010-0146-0

Katsumi HK, Rutman MP. Can we predict if overactive bladder symptoms will resolve after sling surgery in

women with mixed urinary incontinence? Curr Urol Rep 2010;11:328-37. http://dx.doi.org/10.1007/

s11934-010-0133-5

Fonda D, Abrams P. Cure sometimes, help always--a “continence paradigm” for all ages and conditions.

Neurourol Urodyn 2006;25:290-2. http://dx.doi.org/10.1002/nau.20187

Campeau L, Tu LM, Lemieux MC, et al. A multicenter, prospective, randomized clinical trial comparing

tension-free vaginal tape surgery and no treatment for the management of stress urinary incontinence in

elderly women. Neurourol Urodyn 2007;26:990-4. http://dx.doi.org/10.1002/nau.20440

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Publié-e

2012-11-15

Comment citer

Bettez, M., Tu, L. M., Carlson, K., Corcos, J., Gajewski, J., Jolivet, M., & Bailly, G. (2012). 2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association. Canadian Urological Association Journal, 6(5). https://doi.org/10.5489/cuaj.10

Numéro

Vol. 6 No. 5 (2012): CUAJ October

Rubrique

CUA Guideline

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