Context

The European Association of Urology guidelines on urinary incontinence (UI) have been updated in cyclical fashion with successive major chapters being revised each year. The sections on assessment, diagnosis, and nonsurgical treatment have been updated as of mid-2016.

Objective

We present a condensed version of the full guideline on assessment and nonsurgical management of UI, with the aim of improving accessibility and increasing their dissemination.

Evidence acquisition

Our literature search was updated from the previous cut-off of July 2010 up to April 2016. Evidence synthesis was carried out by a pragmatic review of current systematic reviews and any newer subsequent high-quality studies, based on Population, Interevention, Comparator, and Outcome questions. Appraisal was conducted by an international panel of experts, working on a strictly nonprofit and voluntary basis, to develop concise evidence statements and action-based recommendations using modified Oxford and GRADE criteria.

Evidence synthesis

The guidelines include algorithms that summarise the suggested pathway for standard, uncomplicated patients with UI and are more useable in daily practice. The full version of the guideline is available at http://uroweb.org/guideline/urinary-incontinence/.

Conclusions

These updated guidelines provide an evidence-based summary of the assessment and nonsurgical management of UI, together with a clear clinical algorithm and action-based recommendations. Although these guidelines are applicable to a standard patient, it must be remembered that therapy should always be tailored to individual patients’ needs and circumstances.

Patient summary

Urinary incontinence is a very common condition which negatively impacts patient's quality of life. Several types of incontinence exist and since the treatments will vary, it is important that the diagnostic evaluation establishes which type is present. The diagnosis should also identify patients who need rapid referral to an appropriate specialist. These guidelines aim to provide sensible and practical evidence-based guidance on the clinical problem of urinary incontinence.

中文翻译：

---

EAU尿失禁评估和非手术治疗指南

语境

欧洲泌尿外科协会关于尿失禁（UI）的指南已定期更新，每年连续修订主要章节。截至2016年中，有关评估，诊断和非手术治疗的章节已更新。

客观的

我们提出了关于UI评估和非手术管理的完整指南的精简版，目的是改善可访问性并增加其传播。

取证

我们的文献检索从2010年7月的截止日期到2016年4月进行了更新。证据的综合是通过对当前的系统评价以及所有后续的新的高质量研究进行务实的综述，这些指标均基于“人口”，“事件”，“比较器”和“结果问题。评估是由一个国际专家小组进行的，在严格的非营利性和自愿性基础上开展工作，以使用修改后的牛津和GRADE标准制定简明的证据陈述和基于行动的建议。

证据综合

该指南包括一些算法，这些算法总结了标准的，简单的UI患者的建议途径，并且在日常实践中更有用。指南的完整版本可从http://uroweb.org/guideline/urinary-incontinence/获得。

结论

这些更新的指南提供了UI评估和非手术管理的循证摘要，以及清晰的临床算法和基于操作的建议。尽管这些准则适用于标准患者，但必须记住，治疗应始终根据个体患者的需要和情况进行调整。

病人总结

尿失禁是非常常见的疾病，会对患者的生活质量产生负面影响。存在几种类型的失禁，并且由于治疗方法会有所不同，因此，诊断评估必须确定存在哪种类型的失禁。诊断还应确定需要快速转诊给适当专家的患者。这些指南旨在为尿失禁的临床问题提供明智且实用的循证指南。