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Updated: Sep 8, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
European Association of Urology Guidelines on Male Urinary Incontinence
Mauro Gacci1, Vasileios I Sakalis2, Markos Karavitakis3
1Unit of Urological Robotic Surgery and Renal Transplantation, University of Florence, Careggi Hospital, Florence, Italy; Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
This guideline provides updated information on male urinary incontinence (UI), covering its definition, causes, diagnosis, and treatment options for stress, urge, and mixed UI. It aims to optimize patient care for urologists.
Area of Science:
- Urology
- Geriatrics
Background:
- Urinary incontinence (UI) significantly impacts the quality of life for elderly men.
- Male UI presents a considerable economic burden on patients and healthcare systems.
Purpose of the Study:
- To present a practical, evidence-based guideline on male UI.
- To cover definitions, pathophysiology, diagnostic workup, and treatment options for male UI.
Main Methods:
- Comprehensive literature search of high-evidence studies in English.
- Searched databases: Medline, EMBASE, Cochrane Libraries.
- Assigned levels of evidence and grades of recommendation.
Main Results:
- UI classified into stress urinary incontinence (SUI), urge urinary incontinence (UUI), and mixed UI.
- Initial management includes clinical interventions, behavioral/physical modifications, and pharmacotherapy.
- Surgical options for SUI: bulking agents, male sling, compression devices.
- Surgical options for UUI: botulinum toxin A injections, sacral nerve stimulation, cystoplasty/urinary diversion.
Conclusions:
- This 2022 European Association of Urology guideline summary offers updated information on male UI.
- Provides guidance for urologists on diagnostic and therapeutic indications to optimize patient care.
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