[The new guideline "Diagnosis and therapy of female urinary incontinence" AWMF register no.: 015-091-important to know].

BACKGROUND

The new interdisciplinary S2k guideline "Female urinary incontinence" has been online since December 31, 2021 under the AWMF register number: 015-091. The guideline combines the two previously separately published guidelines "Urinary stress incontinence in women" and "Overactive bladder in women" and integrates the previously independent guideline "Sonography in the context of urogynaecological diagnostics".

OBJECTIVES

The focus is on the identification of the three most common types of urinary incontinence in women "stress incontinence", "urge incontinence" and "mixed incontinence" through appropriate diagnostics and their conservative and surgical therapy. In addition, a chapter on the management of extraurethral urinary incontinence in urogenital fistulas has been included.

METHODS

The guideline was created under the leadership of the "German Society for Gynecology and Obstetrics" (DGGG) and the Working Group for Urogynecology and Pelvic Floor Reconstruction e. V. (AGUB). In the interdisciplinary guideline group, six urologists from the working group "Urological functional diagnostics and female urology" were also involved as elected representatives of the German Society for Urology (DGU). For the validity in German-speaking areas, mandate holders from Austria and Switzerland were present.

RESULTS

The clinically and practically relevant and new consensus recommendations for diagnostics and therapy were approved after systematic research, selection, evaluation and synthesis of the evidence base. Evidence grading was not intended as the S2k guideline. The individual statements and recommendations were differentiated linguistically-not symbolically. For a complete overview, we recommend studying the long version "Diagnostics and Therapy of Female Urinary Incontinence" at www.AWMF.org or the short version in two parts by Naumann G. et al. in Obstetrics and Women's Health (in press), which will be published soon.