[Urination disorders. Do we know all about them?]

Area of Science:

• Urology
• Internal Medicine
• Obstetrics & Gynecology

Context:

• Pilot questionnaire survey of 211 physicians across various specialties in the Southern Federal District.
• Focus on diagnosis and treatment of inflammatory and non-inflammatory urination disorders.
• Involved urologists, obstetricians, internists, surgeons, neurologists, and infectiologists.

Purpose:

• To assess the current level of knowledge and practice among physicians regarding urination disorders.
• To identify deficiencies in the diagnosis and management of conditions like overactive bladder (OB) and urinary incontinence.
• To evaluate adherence to treatment guidelines for lower urinary tract symptoms (LUTS) and infections.

Summary:

• Significant knowledge gaps identified in diagnosing and treating overactive bladder (OB) and urinary incontinence across multiple specialties.
• Inconsistent prescription patterns for M-anticholinergics in OB and urgent incontinence, with overuse in stress incontinence.
• Concerns regarding antibiotic selection for lower urinary tract infections and understanding of combination therapy for LUTS in BPH.

Impact:

• Highlights the need for targeted educational programs for healthcare professionals to improve patient care for urination disorders.
• Underscores the importance of interdisciplinary collaboration in managing complex urological conditions.
• Findings suggest a potential for improved patient outcomes through enhanced physician training and adherence to evidence-based guidelines.