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Related Experiment Videos

Incontinence after radical prostatectomy: pathophysiology and management.

S A MacDiarmid1

  • 1Department of Urology, University of Tennessee, 1211 Union Avenue, Suite 340, Memphis, TN 38104, USA. smacdiarmid@utmem.edu

Current Urology Reports
|June 27, 2002
PubMed
Summary
This summary is machine-generated.

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Urinary incontinence affects many patients post-prostatectomy, often due to sphincter deficiency. The artificial urinary sphincter is the primary treatment for this stress incontinence.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Radical prostatectomy can lead to urinary incontinence, impacting patient quality of life.
  • Improvements in surgical techniques aim to preserve the urethral sphincteric mechanism, but incontinence persists in many cases.
  • Post-prostatectomy incontinence often involves stress incontinence due to intrinsic sphincter deficiency and may coexist with bladder dysfunction.

Purpose of the Study:

  • To review the management of urinary incontinence following radical prostatectomy.
  • To highlight the efficacy of various treatment options for post-prostatectomy stress incontinence.

Main Methods:

  • Review of current literature on post-prostatectomy incontinence.
  • Discussion of treatment modalities including artificial urinary sphincters, collagen injections, and male urethral slings.

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Main Results:

  • Stress incontinence secondary to intrinsic sphincter deficiency is the most common type after radical prostatectomy.
  • The artificial urinary sphincter is considered the treatment of choice for this condition.
  • Collagen injection therapy and male bulbourethral slings are alternative treatment options.

Conclusions:

  • Urinary incontinence remains a significant concern after radical prostatectomy.
  • The artificial urinary sphincter offers a reliable solution for intrinsic sphincter deficiency.
  • Alternative treatments should be considered based on individual patient factors and severity of incontinence.