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

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Mathieu Bettez, MD,* Le Mai Tu, MD, MSc,* Kevin Carlson, MD, FRCSC, Jacques Corcos, MD, FRCSC,§Jerzy Gajewski, MD, FRCSC, Martine Jolivet, MD, FRCSC,± and Greg Bailly, MD, FRCSC

Abstract

Adult urinary incontinence (UI) is a highly prevalent condition, and one which can have a major impact on patients’ quality of life. It is also a major focus of a urologist’s workload. As a result, the Canadian Urological Association (CUA), with the aid of its Guidelines Committee, commissioned the development of a practice guideline document in 2005 first authored by Dr. Jacques Corcos. As per the CUA Guidelines Committee’s mandate, all guidelines are subject to revision after 5 years.

Methodology

A comprehensive review of the studies published from January 2005 and November 2011 was performed using PubMed, MEDLINE and The Cochrane Library databases. In addition, the bibliographies of all relevant articles were searched to avoid exclusion of significant articles. Focus was on systematic reviews, meta-analyses and evidence-based recommendations, when available. Data from the latest consensus of the International Continence Society (ICS), the International Consultation on Incontinence (ICI), the International Urogynecological Association (IUGA), the American Urological Association (AUA), the European Association of Urology (EAU), the Urinary Incontinence Treatment Network (UITN), the Society of Obstetricians and Gynecologists of Canada (SOGC) and the American Congress of Obstetricians and Gynecologists (ACOG) were also incorporated. This review does not address UI in children or patients with neurogenic bladder. All articles were reviewed using the Evidence-Based Medicine (EBM) levels, with a Modified Oxford grading System (Appendix A).

Source: Can Urol Assoc J. 2012 Oct; 6(5): 354–363.