title: Should we screen for and treat lower urinary tract dysfunction after major pelvic surgery? ICI-RS 2011.
abstract: OBJECTIVE
  Given the relative frequency of lower urinary tract dysfunction (LUTD) after major pelvic surgery, the main question for this debate is: "Should we [actively] screen for LUTD after major pelvic surgery," with the intention to treat and improve patient care.
  
  
  METHODS
  The discussants selected relevant papers from a limited review of the literature [PubMed/Medline database (January 1966 to May 2011)] and prepared the YES versus NO presentations.
  
  
  RESULTS
  The evidence was presented for the following major pelvic procedures: colorectal surgery, hysterectomy, and surgery for other benign gynecologic conditions, radical prostatectomy, brachytherapy, and primary cryotherapy for prostate cancer. Based on the presentations, the audience voted in favor of screening for LUTD after major pelvic surgery.
  
  
  CONCLUSIONS
  Irreversible treatment should be delayed in case of LUTD after major pelvic surgery. In fact, most symptoms spontaneously subside within 6 months after the surgery. Once the period of 6-12 months of conservative management has been completed and if LUTD persists, a new urodynamic screening should be followed by appropriate treatment.
authors.affiliation: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands. j.l.h.r.bosch@umcutrecht.nl
authors.forename: J L H Ruud
authors.initials: JL
authors.lastname: Bosch
authors.forename: Peggy
authors.initials: P
authors.lastname: Norton
authors.forename: J Stephen
authors.initials: JS
authors.lastname: Jones
mesh_terms: D003950:Diagnostic Techniques, Urological; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008403:Mass Screening / Q000379:methods*; D010388:Pelvis / Q000601:surgery*; D011237:Predictive Value of Tests; D012075:Remission, Spontaneous; D018570:Risk Assessment; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000503:physiopathology; D014563:Urodynamics