"Surgical Management of Post Prostatectomy Incontinence." by Natalija Kovacevic and Priya Padmanabhan
 

Surgical Management of Post Prostatectomy Incontinence.

Document Type

Article

Publication Date

6-2024

Publication Title

Prostate International

Abstract

Post prostatectomy incontinence (PPI) is a well-recognized and bothersome complication following radical prostatectomy. Conservative measures such as pelvic floor physical therapy, biofeedback, and medication are first line management of PPI. When first line therapies fail, patients are offered a variety of surgical procedures based on the degree of incontinence, prior radiation therapy, and comorbidities. Among the various surgical options, placement of an artificial urinary sphincter (AUS) is the gold standard for PPI. However, AUS placement has a high rate of re-operation and requires good manual dexterity. In cases of mild-moderate incontinence, especially in patients without prior radiation therapy, male slings and proACT are a less invasive option. Bulking therapy, although highly successful for female stress urinary incontinence (SUI), is not currently advised in the treatment of male SUI. Regardless of surgical approach used to treat PPI, providers should counsel patients regarding risks of re-operation and have an open an honest discussion regarding the degree of continence that can be restored following each procedure.

Volume

12

Issue

2

First Page

65

Last Page

69

DOI

10.1016/j.prnil.2024.04.005

ISSN

2287-8882

PubMed ID

39036757

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