To report the British Association of Urological Surgeons (BAUS) consensus document on the assessment and management of post-prostatectomy incontinence-stress urinary incontinence (PPI-SUI).
We conducted a contemporary literature search to identify the current evidence base. A guideline development group was formed by the Female, Neurological and Urodynamic Urology (FNUU) Section of BAUS to formulate and review the recommendations. Where a lack of evidence was identified, expert opinion of the FNUU Executive Committee and a modified Delphi approach was utilised.
This consensus addresses several knowledge gaps in the current literature on PPI-SUI, in addition to tackling areas not addressed by the current international guidelines, e.g., prostate cancer survivorship. Of the initial draft, the modified Delphi consensus methodology was applied to 65 statements split into seven broad categories: terminology, assessment, conservative management, surgical treatment, perioperative care, complication management, and follow-up after PPI-SUI surgery. This is applicable to general and specialist Urologists worldwide. After three rounds, consensus was achieved with 63/65 statements.
We provide a modified Delphi consensus on the assessment and management of PPI-SUI to help guide and standardise the assessment and management pathway of these patients.
BJU international. 2025 Apr 02 [Epub ahead of print]
Nikita R Bhatt, Suzanne Biers, Arun Sahai, Mohammed Belal, Andy Kozan, Magda Kujawa, Steven MacLennan, James Moore, Mehwash Nadeem, Nadir Osman, Mahreen Pakzad, Ruth Doherty, Hashim Hashim, BAUS Section of Female, Neurological and Urodynamic Urology
Newcastle upon Tyne Hospitals NHS Foundation Trust, Freeman Hospital, Newcastle upon Tyne, UK., Addenbrooke's Hospital, Cambridge, UK., Guy's and St. Thomas' NHS Foundation Trust, London, UK., Queen Elizabeth Hospital, Birmingham, UK., St James Hospital, Leeds, UK., Stockport NHS Foundation Trust, Stockport, UK., Academic Urology Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK., East Sussex Healthcare NHS Trust, Eastbourne, East Sussex, UK., James Cook University Hospital, Middlesbrough, UK., Royal Hallamshire Hospital, Sheffield, UK., University College Hospital, London, UK., Norfolk and Norwich University Hospital, Norwich, UK., Bristol Urological Institute, North Bristol NHS Trust, Bristol, UK.