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Vol 94, No 4 (2023)
Guidelines / Expert consensus
Published online: 2022-02-18
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The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guideline for the diagnostic assessment of stress urinary incontinence in women

Edyta Wlazlak1, Magdalena E. Grzybowska2, Tomasz Rechberger3, Wlodzimierz Baranowski4, Artur Rogowski5, Pawel Miotla3, Klaudia Stangel-Wojcikiewicz6, Magda Krzycka1, Tomasz Kluz7, Elzbieta Narojczyk-Swiesciak8, Bartlomiej Burzynski9, Grzegorz Surkont1
DOI: 10.5603/GP.a2021.0256
·
Pubmed: 35315030
·
Ginekol Pol 2023;94(4):330-336.
Affiliations
  1. Department of Operative Gynecology and Gynecologic Oncology, I Department of Gynecology and Obstetrics, Medical University of Lodz
  2. Department of Gynecology, Gynecological Oncology and Gynecological Endocrinology, Medical University of Gdansk, Poland
  3. II Department of Gynecology, Medical University of Lublin, Poland
  4. Department of Gynecology and Gynecological Oncology, Military Medical Institute, Warsaw, Poland
  5. Department of Minimally Invasive and Endoscopic Gynecology, Military Institute of Medicine, Legionowo Hospital, Poland
  6. Jagiellonian University Medical College, Department of Gynecology and Oncology, Cracow, Poland
  7. Department of Gynecology, Gynecology Oncology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland
  8. 2nd Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Bielanski Hospital, Warsaw, Poland
  9. Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland

open access

Vol 94, No 4 (2023)
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Published online: 2022-02-18

Abstract

Objectives: The aim of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) was to develop an updated Guideline for the diagnostic assessment of stress urinary incontinence (SUI) in women.
Material and methods: Earlier PSGO guidelines and the literature about the diagnostic assessment of SUI, including current international guidelines, were reviewed.
Results: As in the earlier guidelines, the diagnostic process was subdivided into the initial and the specialized diagnostics. Patients who required specialized diagnostic testing were identified. Functional diagnostic tests, performed by physiotherapists, were included. Attention was paid to new diagnostic possibilities.
Conclusions: Initial diagnostic assessment is sufficient to devise the optimal treatment plan in a number of patients. It also allows to identify which patients will require specialized diagnostics, whose scope is individually tailored to the patient needs and depends on symptom complexity, surgical history, treatment plan, experience of the physician, availability of the equipment, and cost-effectiveness ratio.

Abstract

Objectives: The aim of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) was to develop an updated Guideline for the diagnostic assessment of stress urinary incontinence (SUI) in women.
Material and methods: Earlier PSGO guidelines and the literature about the diagnostic assessment of SUI, including current international guidelines, were reviewed.
Results: As in the earlier guidelines, the diagnostic process was subdivided into the initial and the specialized diagnostics. Patients who required specialized diagnostic testing were identified. Functional diagnostic tests, performed by physiotherapists, were included. Attention was paid to new diagnostic possibilities.
Conclusions: Initial diagnostic assessment is sufficient to devise the optimal treatment plan in a number of patients. It also allows to identify which patients will require specialized diagnostics, whose scope is individually tailored to the patient needs and depends on symptom complexity, surgical history, treatment plan, experience of the physician, availability of the equipment, and cost-effectiveness ratio.

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Keywords

stress urinary incontinence; SUI diagnostics; urodynamic testing; pelvic floor ultrasound; cough test; pad-test

About this article
Title

The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guideline for the diagnostic assessment of stress urinary incontinence in women

Journal

Ginekologia Polska

Issue

Vol 94, No 4 (2023)

Article type

Guidelines / Expert consensus

Pages

330-336

Published online

2022-02-18

Page views

2932

Article views/downloads

840

DOI

10.5603/GP.a2021.0256

Pubmed

35315030

Bibliographic record

Ginekol Pol 2023;94(4):330-336.

Keywords

stress urinary incontinence
SUI diagnostics
urodynamic testing
pelvic floor ultrasound
cough test
pad-test

Authors

Edyta Wlazlak
Magdalena E. Grzybowska
Tomasz Rechberger
Wlodzimierz Baranowski
Artur Rogowski
Pawel Miotla
Klaudia Stangel-Wojcikiewicz
Magda Krzycka
Tomasz Kluz
Elzbieta Narojczyk-Swiesciak
Bartlomiej Burzynski
Grzegorz Surkont

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