Should we routinely assess psychological morbidities in idiopathic lower urinary tract dysfunction: ICI-RS 2019?

Tufan Tarcan, Caroline Selai, François Herve, Desiree Vrijens, Phillip P. Smith, Apostolos Apostolidis, Jalesh N. Panicker, Ruth Kirschner-Hermanns, Salvador Arlandis, Giovanni Mosiello, Roger Dmochowski, Linda Cardozo, Alexander von Gontard

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: Psychological morbidities play a major role in idiopathic lower urinary tract dysfunction (iLUTD). The aim of the Think Tank (TT) was to discuss the relevance of psychological morbidities in idiopathic LUTD over the life span, including overactive bladder (OAB) or dysfunctional voiding (DV) and methods of assessment. Methods: The paper is based on a selective review of the literature and in-depth discussions, leading to research recommendations regarding the assessment of psychological morbidities in iLUTD on children and adults held during the TT of the International Consultation on Incontinence Research Society in 2019. Results: Psychological comorbidities affect the health behaviors and treatment outcomes in patients with iLUTD. Both clinically relevant comorbid mental disorders, as well as subclinical psychological symptoms have a major impact and negatively influence incontinence treatment. Research is needed to elucidate mechanisms underlying iLUTD and psychological comorbidities. Clinical studies are needed to determine how perception generation and cognition impacts on the relationship of urinary perceptions, symptoms, and objective urodynamic function. Due to high psychological comorbidity rates, screening with validated, generic questionnaires for emotional and behavioral disorders in children with nocturnal enuresis, daytime urinary incontinence, and fecal incontinence is recommended. Brief screening is recommended for all adults with iLUTD, especially with OAB and DV, who are refractory to treatment. Conclusions: Due to the high rate and relevance in clinical practice, screening for psychological comorbidities is recommended for all age groups. The research recommendations of this TT may be followed to improve the assessment of psychological morbidities in iLUTD.

Original languageEnglish
Pages (from-to)S70-S79
JournalNeurourology and Urodynamics
Volume39
Issue numberS3
DOIs
Publication statusPublished - Jul 1 2020

Keywords

  • dysfunctional voiding
  • lower urinary tract dysfunction
  • overactive bladder
  • psychological disorders
  • screening

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology

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