To report the British Association of Urological Surgeon's (BAUS) guidance on the assessment and management of female voiding dysfunction.
A contemporary literature search was conducted to identify the evidence base. The BAUS Section of Female, Neurological and Urodynamic Urology (FNUU) Executive Committee formed a guideline development group to draw up and review the recommendations. Where there was no supporting evidence, expert opinion of the BAUS FNUU executive committee, FNUU Section and BAUS members, including urology consultants working in units throughout the UK, was used.
Female patients with voiding dysfunction can present with mixed urinary symptoms or urinary retention in both elective and emergency settings. Voiding dysfunction is caused by a wide range of conditions which can be categorized into bladder outlet obstruction (attributable to functional or anatomical causes) or detrusor underactivity. Guidance on the assessment, investigation and treatment of women with voiding dysfunction and urinary retention, in the absence of a known underlying neurological condition, is provided.
Wa have produced a BAUS approved consensus on the management pathway for female voiding dysfunction with the aim to optimize assessment and treatment pathways for patients.
BJU international. 2021 Mar 26 [Epub ahead of print]
Suzanne M Biers, Chris Harding, Mo Belal, Nikesh Thiruchelvam, Rizwan Hamid, Arun Sahai, Richard Parkinson, Rachel Barratt, Ased Ali, Sheilagh Reid, BAUS Section of Female, Neurological and Urodynamic Urology
Addenbrooke's Hospital, Cambridge, UK., Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK., Queen Elizabeth Hospital, Birmingham, UK., London and London Spinal Injuries Unit, University College London Hospitals, Stanmore, UK., Guy's and St. Thomas' NHS Foundation Trust, London, UK., Nottingham University Hospitals NHS Trust, Nottingham, UK., Mid Yorkshire NHS Hospitals Trust, Wakefield, UK., Royal Hallamshire Hospital, Sheffield, UK.