{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T01:43:25Z","timestamp":1788227005514,"version":"build-2803163510"},"reference-count":49,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:00:00Z","timestamp":1701129600000},"content-version":"am","delay-in-days":453,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100003083","name":"European Association of Urology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003083","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","eu-focus.europeanurology.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Urology Focus"],"published-print":{"date-parts":[[2022,9]]},"DOI":"10.1016\/j.euf.2021.10.006","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T15:43:44Z","timestamp":1635176624000},"page":"1340-1361","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Benefits and Harms of Conservative, Pharmacological, and Surgical Management Options for Women with Bladder Outlet Obstruction: A Systematic Review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel"],"prefix":"10.1016","volume":"8","author":[{"given":"Benoit","family":"Peyronnet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Carmela","family":"Lapitan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lazaros","family":"Tzelves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eabhann","family":"O'Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisling","family":"Nic An Riogh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarida","family":"Manso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Yuhong Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvador","family":"Arlandis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"Bo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabetta","family":"Costantini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fawzy","family":"Farag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Groen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjun","family":"Nambiar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Ph\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huub","family":"van der Vaart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Imran Omar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Harding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.euf.2021.10.006_b0005","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1002\/nau.10052","article-title":"The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society","volume":"21","author":"Abrams","year":"2002","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0010","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s11934-016-0586-2","article-title":"Female bladder outlet obstruction","volume":"17","author":"Hoffman","year":"2016","journal-title":"Curr Urol Rep"},{"key":"10.1016\/j.euf.2021.10.006_b0015","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/luts.12196","article-title":"Female bladder outlet obstruction: Common symptoms masking an uncommon cause","volume":"11","author":"Malde","year":"2019","journal-title":"Low Urin Tract Symptoms"},{"key":"10.1016\/j.euf.2021.10.006_b0020","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1002\/nau.23178","article-title":"Male bladder outlet obstruction: time to re-evaluate the definition and reconsider our diagnostic pathway? ICI-RS 2015","volume":"36","author":"Rademakers","year":"2017","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0025","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1097\/MOU.0000000000000303","article-title":"Female bladder outlet obstruction: an update on diagnosis and management","volume":"26","author":"Meier","year":"2016","journal-title":"Curr Opin Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0030","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1002\/nau.22776","article-title":"Recommendations for future development of contractility and obstruction nomograms for women ICI-RS 2014","volume":"35","author":"Rademakers","year":"2016","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0035","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jclinepi.2009.06.006","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration","volume":"62","author":"Liberati","year":"2009","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.euf.2021.10.006_b0040","unstructured":"Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions v.5.0.2. The Cochrane Collaboration; 2011.http:\/\/www.cochrane-handbook.org\/."},{"key":"10.1016\/j.euf.2021.10.006_b0045","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.eururo.2017.08.016","article-title":"Key steps in conducting systematic reviews for underpinning clinical practice guidelines: methodology of the European Association of Urology","volume":"73","author":"Knoll","year":"2018","journal-title":"Eur Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0050","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.euf.2021.10.006_b0055","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.eururo.2006.06.005","article-title":"Results of double-blind placebo-controlled crossover study of sildenafil citrate (Viagra) in women suffering from obstructed voiding or retention associated with the primary disorder of sphincter relaxation (Fowler's syndrome)","volume":"51","author":"Datta","year":"2007","journal-title":"Eur Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0060","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1111\/j.1464-410X.2007.06987.x","article-title":"Dysfunctional voiding confirmed by transdermal perineal electromyography, and its effective treatment with baclofen in women with lower urinary tract symptoms: a randomized double-blind placebo-controlled crossover trial","volume":"100","author":"Xu","year":"2007","journal-title":"BJU Int"},{"key":"10.1016\/j.euf.2021.10.006_b0065","doi-asserted-by":"crossref","first-page":"35","DOI":"10.2147\/IJGM.S16063","article-title":"Effect of tamsulosin versus prazosin on clinical and urodynamic parameters in women with voiding difficulty: a randomized clinical trial","volume":"4","author":"Hajebrahimi","year":"2011","journal-title":"Int J Gen Med"},{"key":"10.1016\/j.euf.2021.10.006_b0070","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1002\/nau.22411","article-title":"Urethral dilatation: is there any benefit over cystoscopy and distension? A randomized trial in women with overactive bladder symptoms","volume":"33","author":"Basu","year":"2014","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0075","doi-asserted-by":"crossref","first-page":"30","DOI":"10.5213\/inj.1834904.452","article-title":"Efficacy of an alpha-blocker for the treatment of nonneurogenic voiding dysfunction in women: an 8-week, randomized, double-blind, placebo-controlled trial","volume":"22","author":"Lee","year":"2018","journal-title":"Int Neurourol J"},{"key":"10.1016\/j.euf.2021.10.006_b0080","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1007\/s00192-010-1322-y","article-title":"Comparison of alpha-blocker, extracorporeal magnetic stimulation alone and in combination in the management of female bladder outlet obstruction","volume":"22","author":"Koh","year":"2011","journal-title":"Int Urogynecol J"},{"key":"10.1016\/j.euf.2021.10.006_b0085","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.urology.2004.09.019","article-title":"Transurethral incision of bladder neck in treatment of bladder neck obstruction in women","volume":"65","author":"Peng","year":"2005","journal-title":"Urology"},{"key":"10.1016\/j.euf.2021.10.006_b0090","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1159\/000083559","article-title":"Use of alpha1-blockers in female functional bladder neck obstruction","volume":"74","author":"Pischedda","year":"2005","journal-title":"Urol Int"},{"key":"10.1016\/j.euf.2021.10.006_b0095","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1016\/j.juro.2006.06.009","article-title":"The effect of terazosin on functional bladder outlet obstruction in women: a pilot study","volume":"176","author":"Kessler","year":"2006","journal-title":"J Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0100","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1111\/j.1442-2042.2008.02134.x","article-title":"The effectiveness of tamsulosin in treating women with voiding difficulty","volume":"15","author":"Chang","year":"2008","journal-title":"Int J Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0105","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1159\/000176027","article-title":"Xu YM Transurethral incision of the bladder neck using KTP in the treatment of bladder neck obstruction in women","volume":"82","author":"Fu","year":"2009","journal-title":"Urol Int"},{"key":"10.1016\/j.euf.2021.10.006_b0110","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1159\/000241674","article-title":"Open-label, longitudinal study of tamsulosin for functional bladder outlet obstruction in women","volume":"83","author":"Costantini","year":"2009","journal-title":"Urol Int"},{"key":"10.1016\/j.euf.2021.10.006_b0115","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s00192-008-0749-x","article-title":"Effect of alfuzosin on female primary bladder neck obstruction","volume":"20","author":"Athanasopoulos","year":"2009","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"10.1016\/j.euf.2021.10.006_b0120","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.urology.2011.11.004","article-title":"Modified transurethral incision for primary bladder neck obstruction in women: a method to improve voiding function without urinary incontinence","volume":"79","author":"Jin","year":"2012","journal-title":"Urology"},{"key":"10.1016\/j.euf.2021.10.006_b0125","first-page":"1063","article-title":"The effectiveness of otis urethrotomy combined with six weeks urethral dilations until 40 Fr in the treatment of bladder outlet obstruction in women: a prospective study","volume":"10","author":"Grivas","year":"2014","journal-title":"Urol J"},{"key":"10.1016\/j.euf.2021.10.006_b0130","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1111\/iju.13085","article-title":"Controlled transurethral resection and incision of the bladder neck to treat female primary bladder neck obstruction: description of a novel surgical procedure","volume":"23","author":"Shen","year":"2016","journal-title":"Int J Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0135","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1007\/s00192-008-0626-7","article-title":"Transvaginal tape lysis for urinary obstruction after suburethral tape placement. When to do an immediate replacement?","volume":"19","author":"Mouracade","year":"2008","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"10.1016\/j.euf.2021.10.006_b0140","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1097\/SPV.0b013e3181858333","article-title":"Surgical choices for the treatment of bladder outlet obstruction after sling procedures","volume":"14","author":"Ghoniem","year":"2008","journal-title":"J Pelvic Med Surg"},{"key":"10.1016\/j.euf.2021.10.006_b0145","first-page":"12002","article-title":"Novel surgical technique for female distal urethral stricture disease: an evaluation of efficacy and safety compared with urethral dilatation","volume":"11","author":"Tao","year":"2018","journal-title":"Int J Clin Exp Med"},{"key":"10.1016\/j.euf.2021.10.006_b0150","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/0090-4295(90)80053-P","article-title":"Female bladder neck incision","volume":"35","author":"Fenster","year":"1990","journal-title":"Urology"},{"key":"10.1016\/j.euf.2021.10.006_b0155","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/S0022-5347(01)61957-8","article-title":"The effect of genital prolapse on voiding","volume":"161","author":"Romanzi","year":"1999","journal-title":"J Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0160","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1159\/000064353","article-title":"Vestibular flap urethroplasty for strictures of the female urethra. Impact on symptoms and flow patterns","volume":"69","author":"Montorsi","year":"2002","journal-title":"Urol Int"},{"key":"10.1016\/j.euf.2021.10.006_b0165","first-page":"790","article-title":"Efficacy of transurethral bladder neck incision with 2-micron continuous wave laser (RevoLix) for the management of bladder outlet stricture in women","volume":"10","author":"Sharifiaghdas","year":"2013","journal-title":"Urol J"},{"key":"10.1016\/j.euf.2021.10.006_b0170","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1002\/nau.22459","article-title":"Ultrasound and early tape mobilization\u2014a practical solution for treating postoperative voiding dysfunction","volume":"33","author":"Rautenberg","year":"2014","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0175","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.urology.2013.09.020","article-title":"Ventral inlay labia minora graft urethroplasty for the management of female urethral strictures","volume":"83","author":"\u00d6nol","year":"2014","journal-title":"Urology"},{"key":"10.1016\/j.euf.2021.10.006_b0180","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s00192-013-2249-x","article-title":"Dorsal onlay buccal mucosal graft urethroplasty in female urethral stricture disease: a single-center experience","volume":"25","author":"Goel","year":"2014","journal-title":"Int Urogynecol J"},{"key":"10.1016\/j.euf.2021.10.006_b0185","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1111\/bju.13970","article-title":"Ventral-onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women","volume":"120","author":"Mukhtar","year":"2017","journal-title":"BJU Int"},{"key":"10.1016\/j.euf.2021.10.006_b0190","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.tjog.2017.10.016","article-title":"Single incision anterior apical mesh and sacrospinous ligament fixation in pelvic prolapse surgery at 36 months follow-up","volume":"56","author":"Lo","year":"2017","journal-title":"Taiwan J Obstet Gynecol"},{"key":"10.1016\/j.euf.2021.10.006_b0195","doi-asserted-by":"crossref","first-page":"36","DOI":"10.4103\/abr.abr_200_18","article-title":"Internal urethrotomy in treatment of female with anatomical bladder outlet obstruction","volume":"8","author":"Sharifian","year":"2019","journal-title":"Adv Biomed Res"},{"key":"10.1016\/j.euf.2021.10.006_b0200","doi-asserted-by":"crossref","first-page":"267","DOI":"10.4103\/iju.IJU_134_19","article-title":"Dorsal onlay graft urethroplasty for female urethral stricture improves sexual function: short-term results of a prospective study using vaginal graft","volume":"35","author":"Manasa","year":"2019","journal-title":"Indian J Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0205","doi-asserted-by":"crossref","first-page":"2433","DOI":"10.1002\/nau.24507","article-title":"Treatment of urethral stricture disease in women: a multi-institutional collaborative project from the SUFU research network","volume":"39","author":"Lane","year":"2020","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0210","doi-asserted-by":"crossref","unstructured":"Katiyar VK, Sood R, Sharma U, Goel HK, Gahlawat S, Desai DS. Critical analysis of outcome between ventral and dorsal onlay urethroplasty in femaleurethralstricture. Urology. [in press] https:\/\/doi.org\/10.1016\/j.urology.2021.05.021.","DOI":"10.1016\/j.urology.2021.05.021"},{"key":"10.1016\/j.euf.2021.10.006_b0215","doi-asserted-by":"crossref","unstructured":"Khawaja AR, Dar YA, Bashir F, Wani PM, Bhat AH, Wani MS. Outcome of dorsal buccal graft urethroplasty in femaleurethralstricture disease (FUSD); our institutional experience. Int Urogynecol J. [in press]. https:\/\/doi.org\/10.1007\/s00192-021-04840-9.","DOI":"10.1007\/s00192-021-04840-9"},{"key":"10.1016\/j.euf.2021.10.006_b0220","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.eururo.2006.06.031","article-title":"The presence of Fowler's syndrome predicts successful long-term outcome of sacral nerve stimulation in women with urinary retention","volume":"51","author":"De Ridder","year":"2007","journal-title":"Eur Urol"},{"key":"10.1016\/j.euf.2021.10.006_b0225","doi-asserted-by":"crossref","first-page":"S75","DOI":"10.1002\/nau.23709","article-title":"Do we understand voiding dysfunction in women? Current understanding and future perspectives: ICI-RS 2017","volume":"37","author":"Panicker","year":"2018","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0230","doi-asserted-by":"crossref","first-page":"38905","DOI":"10.1038\/srep38905","article-title":"OnabotulinumtoxinA urethral sphincter injection as treatment for non-neurogenic voiding dysfunction\u2014a randomized, double-blind, placebo-controlled study","volume":"6","author":"Jiang","year":"2016","journal-title":"Sci Rep"},{"issue":"Suppl 5","key":"10.1016\/j.euf.2021.10.006_b0235","first-page":"S82","article-title":"Can we improve our management of dysfunctional voiding in children and adults: International Consultation on Incontinence Research Society; ICI-RS2018?","volume":"38","author":"Tarcan","year":"2019","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2021.10.006_b0240","doi-asserted-by":"crossref","unstructured":"Mostafaei H, Janisch F, Mori K, et al. Placeboresponse in patients with oral therapy for overactive bladder: a systematic review and meta-analysis. Eur Urol Focus. [in press]. https:\/\/doi.org\/10.1016\/j.euf.2021.02.005.","DOI":"10.1016\/j.euf.2021.02.005"},{"key":"10.1016\/j.euf.2021.10.006_b0245","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.eururo.2011.10.033","article-title":"Reporting and grading of complications after urologic surgical procedures: an ad hoc EAU Guidelines Panel assessment and recommendations","volume":"61","author":"Mitropoulos","year":"2012","journal-title":"Eur Urol"}],"container-title":["European Urology Focus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405456921002789?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405456921002789?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T06:55:04Z","timestamp":1762498504000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405456921002789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":49,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["S2405456921002789"],"URL":"https:\/\/doi.org\/10.1016\/j.euf.2021.10.006","relation":{},"ISSN":["2405-4569"],"issn-type":[{"value":"2405-4569","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Benefits and Harms of Conservative, Pharmacological, and Surgical Management Options for Women with Bladder Outlet Obstruction: A Systematic Review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel","name":"articletitle","label":"Article Title"},{"value":"European Urology Focus","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.euf.2021.10.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 European Association of Urology. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}