Volume 38, Issue 2 pp. 433-477
TERMINOLOGY, CONSENSUS ARTICLE, BEST PRACTICE POLICIES

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

Carlos D'Ancona

Corresponding Author

Carlos D'Ancona

Universidade Estadual de Campinas, São Paulo, Brazil

Correspondence

Carlos D'Ancona, MD, PhD, Universidade Estadual de Campinas, Rua Dr Miguel Penteado 1073, Campinas − SP. CED 13020-118, Brazil.

Email: [email protected]

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Bernard Haylen

Bernard Haylen

University of New South Wales, Sydney, Australia

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Matthias Oelke

Matthias Oelke

St. Antonius Hospital, Gronau, Germany

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Luis Abranches-Monteiro

Luis Abranches-Monteiro

Hospital Beatriz Ângelo Loures, Lisbon, Portugal

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Edwin Arnold

Edwin Arnold

University of Otago, Christchurch, New Zealand

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Howard Goldman

Howard Goldman

Cleveland Clinic, Cleveland, Ohio

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Rizwan Hamid

Rizwan Hamid

University College Hospitals, London, United Kingdom

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Yukio Homma

Yukio Homma

Japanese Red Cross Medical Centre, Tokyo, Japan

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Tom Marcelissen

Tom Marcelissen

Maastricht University, Maastricht, The Netherlands

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Kevin Rademakers

Kevin Rademakers

Maastricht University, Maastricht, The Netherlands

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Alexis Schizas

Alexis Schizas

Guy's & St Thomas's Hospitals, London, United Kingdom

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Ajay Singla

Ajay Singla

Massachusetts General Hospital, Harvard, Boston

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Irela Soto

Irela Soto

Complejo Hospitalario, Panama City, Panama

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Vincent Tse

Vincent Tse

University of Sydney, Sydney, Australia

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Stefan de Wachter

Stefan de Wachter

University of Antwerp, Antwerp, Belgium

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Sender Herschorn

Sender Herschorn

University of Toronto, Ontario, Canada

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On behalf of the Standardisation Steering Committee ICS and the ICS Working Group on Terminology for Male Lower Urinary Tract & Pelvic Floor Symptoms and Dysfunction

On behalf of the Standardisation Steering Committee ICS and the ICS Working Group on Terminology for Male Lower Urinary Tract & Pelvic Floor Symptoms and Dysfunction

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First published: 25 January 2019
Citations: 580
Carlos D'Ancona (Content) and Bernard Haylen (Production) are equal first authors.

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.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.