The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction

Carlos D'Ancona*, Bernard Haylen, Matthias Oelke, Luis Abranches-Monteiro, Edwin Arnold, Howard Goldman, Rizwan Humid, Yukio Homma, Tom Marcelissen, Kevin Rademakers, Alexis Schizas, Ajay Singla, Irela Soto, Vincent Tse, Stefan de Wachter, Sender Herschorn, Standardisation Steering Committee ICS , ICS Working Group on Terminology for Male Lower Urinary Tract & Pelvic Floor Symptoms and Dysfunction

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

203 Citations (Web of Science)

Abstract

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.

Original languageEnglish
Pages (from-to)433-477
Number of pages45
JournalNeurourology and Urodynamics
Volume38
Issue number2
DOIs
Publication statusPublished - Feb 2019

Keywords

  • lower urinary tract dysfunction
  • lower urinary tract symptoms
  • male
  • male urinary tract imaging
  • male urodynamics
  • terminology
  • BLADDER OUTLET OBSTRUCTION
  • DETRUSOR WALL THICKNESS
  • STANDARDIZATION SUB-COMMITTEE
  • INTRAVESICAL PROSTATIC PROTRUSION
  • GOOD URODYNAMIC PRACTICES
  • QUALITY-OF-LIFE
  • JOINT REPORT
  • ULTRASOUND MEASUREMENT
  • NOCTURNAL POLYURIA
  • OVERACTIVE BLADDER

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