Publications and guidelines

Changes to the AUA/SUFU Guideline for Idiopathic Overactive Bladder puts patients and their physician in control

Historically, “step therapy” has been utilized to treat urgency urinary incontinence (UUI), with behavioral therapy and medication being the first and second step in the treatment algorithm. However, “long-term compliance with these measures is poor, resulting in high rates of failure and patient frustration.” The new guideline now emphasizes “the importance of shared decision-making to select the best therapy or therapies, regardless of invasiveness, based on the patient’s needs, desires, and side effect tolerance.” Revi, a minimally invasive, patient-centric, implantable tibial neuromodulation system, is now included in the clinical care guidelines.