Produced by the ICS editorial office: [email protected]

ICS NEWSo Issue N 3. December 2005 Montréal Memories

meeting a success. The main theme of the I enjoy the ICS meetings so much, firstly reception and dinner was the variety of because it is an opportunity to meet old food available in Quebec with celebrated friends from many nations with similar local chefs providing courses for the Gala interests; secondly because of the huge dinner, and agile young women suspended width of the backgrounds of people variously giving a different meaning to attending - students, incontinence nurses, aerobics. But I most enjoyed watching the physiotherapists, basic scientists of several dancing after the dinner – is it only at ICS disciplines and clinicians from trainees that everyone flocks to the dance floor? I to consultants in several specialities; and can’t remember this happening at other thirdly, because of the care and attention international meetings, but it always does that is given to the smooth running of the here – pretty young women in the arms of meeting by the permanent staff and local Bjorn Klevmark, Clare Fowler and colleague ICS 2005 was fun but now that lights are off everybody is committees. not quite dancing but in serious discussion, back home and that our next focus is Christchurch, I have to Montréal was no exception. My old friends pretty Japanese daughter overcoming her admit it was really a great pleasure to organise ICS 2005. were there in large numbers, except for shyness to dance with her father’s young We had an unexpectedly high attendance which led to Paul Abrams; who we missed! He was colleague and the inevitable experts some overcrowded rooms. Was it the appeal of Montréal, ably represented by his father-in-law, Bjorn showing us how it should be done. the great scientific programme or an increased interest in Klevmark, who participated fully and retains My initial worries about the number incontinence in the world? All are probably true. Montréal all his empathy. The mix of disciplines of workshops preceding the meeting, is a great city with a mix of modern and traditional, very ensured that the meeting remained wide- and whether or not they would attract welcoming people and entertaining activities. ranging and informative at all levels. The an audience, seemed unfounded –both Scientific Committee had done a good job The scientific programme was excellent. Our guest speakers that I participated in had a decent-sized with the programme; with state-of-the- were outstanding and the quality of presentations, posters, audience. art lectures, good podium sessions and videos and workshops completed this fascinating week. We excellent posters. My main gripe this year was the fact that were also amazed by the success of Dr. Bo’s “pick-me-up” although the non-discussed posters were classes, demonstrating that some physical activities should I especially enjoyed the lecture by Brian well displayed throughout the whole be organised at all ICS meetings to relax us. Kwon on spinal cord regeneration following meeting, and many were excellent, it trauma – it was particularly good to see one But the most important factor is the increasing interest in was virtually impossible to see the ones of the younger members ‘doing his stuff’, the field of incontinence. It did not happen by itself or by selected to be presented, as they were only and doing it so well. an increase in its prevalence but is the result of years of on display for an hour or two before their promotion and work from leaders of the ICS and others who Montréal as the venue was good and session, which was a great pity. Don’t make have devoted time and efforts all over the world to show congratulations are due to Jacques that mistake next year please Ted Arnold! that pelvic floor, incontinence, neurogenic bladder, etc are Corcos and his committee, who with the Prof Alison Brading fascinating fields. It explains why we had participants from experienced help of Vicky Facey made the 67 countries. Finally we have to acknowledge the role industry plays in the success of our meetings, without which it would be difficult to achieve such high standards. The torch has been passed to the people of Christchurch and they are probably already meeting, programming, testing and tasting. Believe it or not, I envy them.

Dr Jacques Corcos M.D.

Page 2 Page 3 Page 4 • CME Reports • Montréal Memories • Barcelona Review • History of the ICS • Do you speak Korean? • Society of Internatl Cystitis, Japan • The Cochrane Library • ICS Nursing Summit • Christchurch 2006 • ICS and our partners Continuing Medical Education Report Free EU-ACME Membership for ICS members All members of the EU-ACME System have a EU- As the chairman of the EU-ACME Programme, I am ACME card with a bar code and a CME number. This very pleased to be informed that the ICS has decided In 2004 the EAU (European Association of ) is used for attendance control at major meetings; to join the EU-ACME Programme and will pay for its and the EBU (European Board of Urology) joined where the bar code is scanned. At smaller meetings, members to join the scheme. forces to promote Continuing Medical Education the CME number is noted to record attendance. amongst all urologists in Europe by creating a new For members of international societies, the annual committee: the EU-ACME. The constant demands According to EBU/UMS regulations you will receive fee for joining the EU-ACME programme is €10. of modern medicine make Continuing Medical one credit point for one hour, maximum per day six but for ICS members, membership to the EU-ACME Education (CME) an absolute necessity. credit points. 150 credit points (minimum) should Programme is included in the annual membership be acquired in 5 years. Moreover from January 1st subscription. The functions and aims of the EU-ACME Office onwards CME on line will be possible by reading the are to implement, promote and organize CME Members wishing to apply for this should forward their CME articles in the European Journal of Urology and within European Urology by (1) providing logistics, ICS membership payment receipt/acknowledgement in the EAU-EBU Update Series. e.g. registration/administration of credit points, to [email protected] stating that they wish to attendance control etc, (2) offering the EU-ACME If the meeting is accredited by the EU-ACME and if join the scheme. They will then receive EU-ACME programme, based on EBU/EUMS regulations to your EU-ACME card is scanned or registered during points at all ICS events. countries without a CME system so far and (3) the meeting, your attendance is registered and your Prof Helmut Madersbacher accreditation of events of international scientific CME points accredited. You will receive a statement societies, registration/ administration of credit of your credit points at least once a year or any time points for their members, attendance control etc. upon request. More Montréal Memories Do you speak Korean? The educational programme for the 35th Annual Can you help the Cochrane Incontinence Sheila A Wallace meeting of the International Continence Society was Review Group with translation? Research Fellow/Trials Search Co-ordinator larger and more wide ranging than ever before. Cochrane Incontinence Review Group The Cochrane Incontinence Review Group Health Services Research Unit In total, 31 workshops and 11 ICS courses were produces systematic reviews of randomized Polwarth Building organised over the two days before the meeting controlled trials, related to urinary and faecal Foresterhill ranging from workshops dealing with the relationship incontinence and other related topics. The Aberdeen, AB25 2ZD, UK of industry to physicians, assessing the role of cellular reviews are produced by review authors on a communication in the bladder to interactive sessions voluntary basis and are published in The Cochrane Tel +01224 551107, email: s.a.wallace@abdn. on the use of in urology. Library. ac.uk. web: www.otago.ac.nz/cure/ Workshops and courses were well attended We are looking for help in translating articles Thank you very much in advance if you are able to reporting the results of randomised controlled help now or in the future. trials from Korean to English. Occasionally these may be needed by review authors for reviews in incontinence. A full translation is not needed – the review authors will provide a structured form on which to write (or type) the information needed. If you are interested in helping, please email me your All workshops were assessed for their educational contact details so I can explain what is needed. value before being accepted for the meeting and all If you wish to discuss this or require information had supporting materials available to participants, on this, please contact me on: including written and electronic media. A complete evaluation by each course attendee is being assessed now to help in the development of the program. The ICS courses covered major areas of difficulty and controversy from the basic, applying anatomical ICS Nursing Summit knowledge to genital prolapse assessment and repair, to the difficult areas such as the treatment The ICS Nursing Education Sub-Committee met currently have no such specialist role. of adolescent incontinence. The courses reflected in Montréal and agreed with the support of the The Summit will also discuss competencies the broad multi-disciplinary nature of the ICS with Education Committee to hold a special Nursing for specialist nurses. It will discuss reaching nursing, physiotherapy, ultrasonographic and bowel Education Summit next year. an international perspective on titles and the dysfunction subjects covered. The Summit will be taking place in Trondheim from competencies these nurses should be working to. The range of workshops and courses was June 8th-11th and will be strictly invitation only. Clinicians and educators from across the world enthusiastically attended by over 2,000 delegates The programme has yet to be worked out but will be invited with spaces for 50 in total. indicating the great need for this form of education it is envisaged it will discuss how to develop and the workshop subcommittee of the ICS education The Nursing Education Sub-Committee is currently continence nursing (for both bladder and bowel committee will be assessing the delegate feedback working to obtain funding for this initiative and it problems) internationally through education to improve the future delivery of these courses. is hoped that Industry will help sponsor it. initiatives. Specifically it will discuss developing Mr Vik Khullar educational initiatives in countries where nurses Mandy Wells Barcelona Review Looking Forward to Apart from the days activities I particularly enjoyed networking with all the speakers and delegates informally as well as having the opportunity to look Christchurch briefly around Barcelona. This was an excellent course, which I would highly A warm welcome awaits you in Christchurch, New recommend to everyone. Zealand at ICS in 2006, from Nov 27th to Dec 1st. These dates are later than usual as the weather is Judy Dakin more settled. I have been unable to attend any ICS programmes Clinical Nurse Specialist for Continence before due to time commitments and finances, Members of the NZ Continence Association and of therefore I was delighted go to the first ICS WALTHAM FOREST PCT, LONDON UK the Continence Foundation of Australia are joining education course in Barcelona. This exceptionally with the ICS for this conjoint meeting. well organised two-day weekend programme was intended to appeal to younger doctors, nurses, The Conference Centre physiotherapists and scientists. However many consultants and regular ICS members were also in the audience, providing the opportunity for lively debate and interaction. The content of the course was presented by internationally recognised speakers, who provided a wide variety of short information sessions. These included urodynamics, the 2005 ICT evidence Successful ICS 2009 bid: – based care pathways for , San Francisco, USA We have an excellent venue for the scientific physiotherapy, and two excellent program and for the Exhibition, at the Christchurch debates on anticholinergic medications and types 30 September - 4 October 2009 Town Hall and Convention Centre. Accommodation of SUI tapes. All of which I was very pleased to see to cater for all standards is readily available. Chair – Dr Anthony Stone on the ICS website on my return home. Scientific Chair – Karl Kreder Christchurch has a reputation as the Garden City of New Zealand. There is a traditional Cathedral We are now accepting bids to host the Square, a quaint tram for tourist excursions around ICS/IUGA joint meeting in 2010. the city sights, an excellent Botanical Gardens For more information on how to submit and a large recreational park. There is a museum your bid, please contact the ICS office: commemorating the departure of Scott’s epic email [email protected] or journey to the South Pole and near the airport there phone +44 (0) 117 944 4881. is an excellent museum of Antarctic treasures. Submission of abstracts will again be on-line via Applications must be received in the ICS website (www.icsoffice.org) with a closing the ICS office by April 1st 2006 date of April 1st. This is maintained even though the meeting is later than it normally is. Society of Interstitial Cystitis in Japan Workshops will be run on the two pre-conference days as usual.

Delegates at ICS 2005 in Montréal included Dr organisation is having a very positive effect on the Christchurch market Hikaru Tomoe, a woman urologist from Japan diagnosis of PBS/IC in Japan. Five years ago very and this year’s president of SICJ, the Society of few doctors knew about PBS/IC, whereas today Interstitial Cystitis of Japan. far more are aware of it and many more patients are receiving the correct diagnosis. Dr Tomoe, author of a book in Japanese on PBS/IC for Japanese patients, explained that SICJ was Until recently, Japanese urology was traditionally founded in April 2001 by four doctors – Dr Homma, dominated by male urologists, but with more Dr Ueda, Dr Ito and Dr Takei – with the purpose and more women coming for treatment, it was of raising awareness and increasing scientific realised that women urologists were needed. knowledge of PBS/IC among urologists in Japan. Female patients find it much easier to discuss taboo subjects such as bladder problems and A book on IC, principally for doctors and nurses, The welcome reception will be special and will incontinence with a woman doctor rather than was published in 2002, a website (www.sicj.umin. begin with an official Powhiri (Maori welcome) with a man. This has led to a change in the role jp) was started in the same year and a unique in the Town Hall. The Gala Dinner will be a fun played by women doctors. International Consultation on IC Japan (ICICJ) was evening incorporating special entertainment and, organised in Kyoto in 2003. This set the ball rolling Ongoing projects and plans for the future include a of course dancing. for further international consultations on criteria guideline for PBS/IC and a study of the relationship May I re-iterate a warm welcome to you all and and a definition for PBS/IC around the world. between prostatitis and PBS/IC. SICJ plans to we look forward to seeing you in New Zealand in organise a second international conference on SICJ currently has around 120 members, mostly 2006. PBS/IC in the next two years. urologists, some gynaecologists, nurses and a Prof Ted Arnold few representatives from relevant pharmaceutical Mrs Jane M. Meijlink companies. According to Dr Tomoe, this Chair, ICS-2006 History of the ICS It has been proposed by Walter Artibani and the • Acknowledgment of the members ICS executive committee, that its history should be i) Founding and early members. Focus on recorded. Norman Zinner from Los Angeles and I personalities, and their contributions have been asked to undertake this interesting task ii) Leaders of opinion over the years up to the and we now invite all members to submit material present time of interest for this project. iii) Acknowledgement of the value of the ICS had its inaugural meeting in 1972 and these contributions from various medical origins and the development of clinical urodynamics specialities nursing and physiotherapy, into a practical discipline were documented by Paul pharmacology and basic science, Abrams (BJU 1993 72:527-533). Many colleagues epidemiology, anatomy, physiology, cell have contributed to understanding over time and biology and many others. this is an opportunity to acknowledge them. Sadly, a • Documentation and acknowledgement of the number of the eminent founders of our organisation fruitful and essential liaison between Industry have now passed on, but their contributions have and the Society been immense and we will attempt to record as • Development of sub-specialties many of these as possible. • The (unfortunate) separation of Children’s We are asking members to delve into their • Education continence issues memories and photo albums for material to donate to the Archives of the ICS. Contributions would be • Continence Promotion • Publication of the proceedings of ICS in Urologia very much appreciated and would be copied and • Ethics Internationalis, and subsequently in Neuro- the originals returned to you. • Neuro-urology urology and Urodynamics. The topics and goals of the document include: • Collaboration with WHO for the International Please send your contributions to Ted Arnold ted. [email protected], Norman Zinner wewedoc@ • Documentation of the origins of the ICS in 1972 Consultation on Incontinence aol.com, or Carole Sales at the ICS office carole@ • Growth of its organisation • Changes of philosophy and emphasis since its origins 1972. icsoffice.org by February 1st 2006. • Standardisation Committee Ted Arnold The Cochrane Library

The Cochrane Library provides a comprehensive • Conservative management for postprostatectomy • Prompted voiding for the management of urinary source of information on the available interventions urinary incontinence. incontinence in adults. in contemporary health care. It is comprised of a • Drug treatment for faecal incontinence in adults. • Serotonin and noradrenaline reuptake inhibitors. regularly updated collection of evidence-based • Electrical stimulation for faecal incontinence in (SNRI) for stress urinary incontinence in adults. medicine databases. The databases and the current adults. • Surgery for faecal incontinence in adults. numbers of records are shown below • Habit retraining for the management of urinary • Timed voiding for the management of urinary incontinence in adults The evidence-based reviews summarise the incontinence in adults. appropriate literature and as such reflect what has • Laparoscopic colposuspension for urinary or hasn’t been published. The results must always incontinence in women. • Traditional suburethral sling operations for urinary incontinence in women. be interpreted in the context of the trial designs and • Management of faecal incontinence and search strategies which are used. They are much constipation in adults with central neurological • Urinary diversion and bladder reconstruction/ quoted and currently cover 28 topics at present :- diseases. replacement using intestinal segments for intractable incontinence or following cystectomy. • Adrenergic drugs for urinary incontinence in • Oestrogens for urinary incontinence in women. adults. • Open retropubic colposuspension for urinary • Urodynamic investigations for management of • Anterior vaginal repair for urinary incontinence incontinence in women. urinary incontinence in children and adults. in women. • Pelvic floor muscle training for urinary • Which anticholinergic drug for overactive • Anticholinergic drugs versus placebo for incontinence in women. bladder symptoms in adults. syndrome in adults. • Periurethral injection therapy for urinary • Weighted vaginal cones for urinary incontinence. • Biofeedback and/or sphincter exercises for the incontinence in women. treatment of faecal incontinence in adults. • Physical therapies for prevention of urinary and Chris Chapple • Bladder neck needle suspension for urinary faecal incontinence in adults. incontinence in women. • Plugs for containing faecal incontinence. ICS Partners • Bladder training for urinary incontinence in • Prevention and treatment of urinary incontinence adults. after stroke in adults.

Database Total Records The Cochrane Database of Systematic Reviews (Cochrane Reviews) * 4041 Database of Abstracts of Reviews of Effects (DARE) ** 5340 The Cochrane Central Register of Controlled Trials (CENTRAL) 454449 The Cochrane Database of Methodology Reviews (Methodology Reviews) *** 20 The Cochrane Methodology Register (Methodology Register) 7059 Health Technology Assessment Database (HTA) 4620 NHS Economic Evaluation Database (NHS EED) 15884 International Continence Society & Conticom ICS Ltd. About The Cochrane Collaboration and the Cochrane Collaborative Review Groups (About) § 90 9 Portland Square, Bristol BS2 8ST, UK Tel +44 117 9444881 Fax +44 117 9444882 * Comprises 2,435 Complete Reviews and 1,606 Protocols ** Comprises 4,540 Abstracts and 800 other reviews *** Comprises 11 Reviews and 9 Protocols § The Cochrane Collaboration: 1; Collaborative review groups (CRGs): 50; Fields: 11; Methods Groups: 11; Networks: 1; Centres: 12; Possible Cochrane entities: 4 Web www.icsoffice.org Email [email protected]