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Working Group of Female Urology, Pelvic Floor and Urodynamics: Confederación Americana de Urología 2023

By: José Carlos Truzzi, MD, MSc, PhD, Director, Working Group of Female Urology, Pelvic Floor and Urodynamics, Confederacíon Americana de Urología, São Paulo, Brazil | Posted on: 19 Jan 2024

The Working Group of Female Urology, Pelvic Floor and Urodynamics established as main objectives for the period 2022 to 2026 to identify the current status of diagnostic and treatment activities in functional urology among urologists from different member-countries of the Confederacíon Americana de Urología (CAU), stimulate the interest of the urological community of each country or region in this specialty, and promote training to optimize the adoption of technological resources to improve the quality of life of the population with voiding disorders.

The first step was to recognize the structure and organization of each CAU member urological society, including the existence, or not, of a department dedicated to the practice of functional urology. We seek to establish opportunities for practical action in training and dissemination of knowledge adapted to the reality of each country. Next, we’ve administered an online questionnaire to all urologists from CAU member-countries (in progress) to identify potential gaps to be explored regarding the methods of diagnosis and treatment of patients with urinary incontinence, overactive bladder, genital prolapse, and neurogenic disorders of the lower urinary tract. The results of this research will enable us in the application of training in partnership with the pharmaceutical, equipment, and materials industry to carry out minimally invasive procedures with high resolution rates, such as sling (female and male), artificial urinary sphincter, intravesical injection of botulinum toxin, sacral neuromodulation, and vaginal, laparoscopic, or robotic treatment of genital prolapse. These actions will certainly increase the opportunity for referrals to urologists by specialists from other areas, such as gynecologists, neurologists, and geriatricians.

For the CAU 2023 Congress, we focused on improving and standardizing diagnostic resources. We developed a practical urodynamics immersion course based on the Good Urodynamic Practices and Terms of the International Continence Society,1 assisted by a team of 5 experts from different countries (Figures 1 and 2). Afterward, the intention is to replicate online this same course model and, therefore, expand the dissemination of knowledge on the main urinary disorders based on robust literature and international guidelines, and adapted to the local reality. This proposal also aims to expand the universe of pathologies treated by urologists and promote better remuneration.

CAU represents a critical universe of people with immense potential for participation in the global scientific context. Therefore, the next step is the creation of regional study groups that promote the development of multicenter studies involving young urologists from each country, strengthening academic and professional ties with other international urological societies.

Members of the Working Group of Female Urology, Pelvic Floor and Urodynamics–CAU are:

  • José Carlos Truzzi, MD, MSc, PhD (Director), Brazil
  • Cynthia Fuentealba Sudy, MD, Chile
  • Frederico Ferronha, MD, Portugal
  • Júlio Resplande Araújo, MD, MSc, PhD, Brazil
  • Sérgio Duran, MD, Mexico
  • General Secretary: Alejandro Rodrigues, MD, PhD, US
  • Director of Communication: Ana María Autrán Gómez, MD, PhD, Spain
  1. Rosier PF, Schaefer W, Lose G, et al. International Continence Society Good Urodynamic Practices and Terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243-1260.