TY - JOUR
T1 - The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction
AU - D'Ancona, Carlos
AU - Haylen, Bernard
AU - Oelke, Matthias
AU - Abranches-Monteiro, Luis
AU - Arnold, Edwin
AU - Goldman, Howard
AU - Humid, Rizwan
AU - Homma, Yukio
AU - Marcelissen, Tom
AU - Rademakers, Kevin
AU - Schizas, Alexis
AU - Singla, Ajay
AU - Soto, Irela
AU - Tse, Vincent
AU - de Wachter, Stefan
AU - Herschorn, Sender
AU - Standardisation Steering Committee ICS
AU - ICS Working Group on Terminology for Male Lower Urinary Tract & Pelvic Floor Symptoms and Dysfunction
N1 - Funding Information:
No discussion on terminology should fail to acknowledge the fine leadership shown by the ICS over many years. The legacy of that work by many dedicated clinicians and scientists is present in all the Reports by the different Standardization Committees and Working Groups. It is pleasing that the ICS leadership has accepted this vital initiative as a means of progress in this important and most basic area of Terminology and its Standardization. This document has involved 22 rounds of full review, by co-authors, of an initial draft (BH) with the collation of comments and figures. Included in the review process were as follows: (i) 8 external expert reviewers; (ii) an open ICS website review; (iii) ICS Standardisation Steering Committee review and (iv) ICS Board of Trustees review. The process was subject to live Meetings in Tokyo (Sept 2016 − planning), and Working Group Meetings in Florence (September 2017), Copenhagen (March 2018) and Philadelphia (August 2018). There were also teleconferences in June, July and August 2018. The co-authors acknowledge the input and extensive comments by those external reviewers of version 18: Craig Comiter, Dirk De Ridder, David Ginsberg, John Heesakkers, Michael Kennelly, Richard Millard, Victor Nitti, and Gommert van Koeveringe. Thanks to Dr Pascal Bou-Haidar for his assistance with the MRI section. Version 19 was subject to ICS website publication and an open public forum discussion at ICS Philadelphia. Thanks to those who provided formal, in particular Werner Schäfer, and informal comments. Version 22 was sent for ICS Board review. As there were no significant changes, Version 22 was submitted to Neurourology and Urodynamics in late October 2018 to appear in the Journal in early 2019.
Publisher Copyright:
© 2019 Wiley Periodicals, Inc.
PY - 2019/2
Y1 - 2019/2
N2 - Introduction In the development of terminology of the lower urinary tract, due to its increasing complexity, the terminology for male lower urinary tract and pelvic floor symptoms and dysfunction needs to be updated using a male-specific approach and via a clinically-based consensus report. Methods This report combines the input of members of the Standardisation Committee of the International Continence Society (ICS) in a Working Group with recognized experts in the field, assisted by many external referees. Appropriate core clinical categories and a subclassification were developed to give a numeric coding to each definition. An extensive process of 22 rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). Results A Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction, encompassing around 390 separate definitions/descriptors, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in male lower urinary tract and pelvic floor dysfunction. Male-specific imaging (ultrasound, radiology, CT, and MRI) has been a major addition whilst appropriate figures have been included to supplement and help clarify the text. Conclusions A consensus-based Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction has been produced aimed at being a significant aid to clinical practice and a stimulus for research.
AB - Introduction In the development of terminology of the lower urinary tract, due to its increasing complexity, the terminology for male lower urinary tract and pelvic floor symptoms and dysfunction needs to be updated using a male-specific approach and via a clinically-based consensus report. Methods This report combines the input of members of the Standardisation Committee of the International Continence Society (ICS) in a Working Group with recognized experts in the field, assisted by many external referees. Appropriate core clinical categories and a subclassification were developed to give a numeric coding to each definition. An extensive process of 22 rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). Results A Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction, encompassing around 390 separate definitions/descriptors, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in male lower urinary tract and pelvic floor dysfunction. Male-specific imaging (ultrasound, radiology, CT, and MRI) has been a major addition whilst appropriate figures have been included to supplement and help clarify the text. Conclusions A consensus-based Terminology Report for male lower urinary tract and pelvic floor symptoms and dysfunction has been produced aimed at being a significant aid to clinical practice and a stimulus for research.
KW - lower urinary tract dysfunction
KW - lower urinary tract symptoms
KW - male
KW - male urinary tract imaging
KW - male urodynamics
KW - terminology
KW - BLADDER OUTLET OBSTRUCTION
KW - DETRUSOR WALL THICKNESS
KW - STANDARDIZATION SUB-COMMITTEE
KW - INTRAVESICAL PROSTATIC PROTRUSION
KW - GOOD URODYNAMIC PRACTICES
KW - QUALITY-OF-LIFE
KW - JOINT REPORT
KW - ULTRASOUND MEASUREMENT
KW - NOCTURNAL POLYURIA
KW - OVERACTIVE BLADDER
U2 - 10.1002/nau.23897
DO - 10.1002/nau.23897
M3 - Article
C2 - 30681183
SN - 0733-2467
VL - 38
SP - 433
EP - 477
JO - Neurourology and Urodynamics
JF - Neurourology and Urodynamics
IS - 2
ER -