The European Association of Urology (EAU) Guidelines Panel on non-neurogenic male lower urinary tract symptoms (LUTS) aimed to develop a new subchapter on underactive bladder (UAB) in non-neurogenic men to inform health care providers of current best evidence and practice. Here, we present a summary of the UAB subchapter that is incorporated into the 2024 version of the EAU guidelines on non-neurogenic male LUTS. A systematic literature search was conducted from 2002 to 2022, and articles with the highest certainty evidence were selected. A strength rating has been provided for each recommendation according to the EAU Guideline Office methodology. Detrusor underactivity (DU) is a urodynamic diagnosis defined as a contraction of reduced strength and/or duration, resulting in prolonged bladder emptying and/or failure to achieve complete bladder emptying within a normal time span. UAB is a terminology that should be reserved for describing symptoms and clinical features related to DU. Invasive urodynamics is the only widely accepted method for diagnosing DU. In patients with persistently elevated postvoid residual (ie, >300 ml), intermittent catheterization is indicated and preferred to indwelling catheters. Alpha-adrenergic blockers are recommended before more invasive techniques, but the level of evidence is low. In men with DU and concomitant benign prostatic obstruction (BPO), benign prostatic surgery should be considered only after appropriate counseling. In men with DU and no BPO, a test phase of sacral neuromodulation may be considered. The current text represents a summary of the new subchapter on UAB. For more detailed information, refer to the full-text version available on the EAU website ().

中文翻译：

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欧洲泌尿外科协会关于非神经源性男性下尿路症状指南的膀胱功能低下总结论文


欧洲泌尿外科协会 (EAU) 关于非神经源性男性下尿路症状 (LUTS) 的指南小组旨在制定一个关于非神经源性男性膀胱活动不足 (UAB) 的新分章，以便向医疗保健提供者通报当前的最佳证据和实践。在这里，我们总结了 UAB 子章节的摘要，该章节已纳入 2024 年版 EAU 关于非神经源性男性 LUTS 的指南。从2002年到2022年进行了系统的文献检索，选择了证据确定性最高的文章。根据 EAU 指南办公室的方法，为每项建议提供了强度评级。逼尿肌活动不足 (DU) 是一种尿动力学诊断，定义为收缩强度和/或持续时间降低，导致膀胱排空时间延长和/或无法在正常时间跨度内实现膀胱完全排空。 UAB 是一个专门用于描述 DU 相关症状和临床特征的术语。侵入性尿动力学检查是唯一被广泛接受的 DU 诊断方法。对于排尿后残留物持续升高（即>300ml）的患者，需要间歇性导尿，并且优于留置导尿管。建议在更具侵入性的技术之前使用α-肾上腺素能阻滞剂，但证据水平较低。对于患有 DU 并伴有良性前列腺梗阻 (BPO) 的男性，只有在适当咨询后才应考虑良性前列腺手术。对于患有 DU 但没有 BPO 的男性，可以考虑进行骶神经调节的测试阶段。当前文本是 UAB 新子章节的摘要。欲了解更多详细信息，请参阅 EAU 网站 () 上的全文版本。