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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...

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Updated: Jul 14, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
12:10

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

[Urinary incontinence after prostatic surgery].

Hans Jørgen Kirkeby1, Jørgen Nordling

  • 1Arhus Universitetshospital, Skejby. hkb@sks.aaa.dk

Ugeskrift for Laeger
|June 8, 2007
PubMed
Summary

Stress urinary incontinence (SUI) affects 5-35% of men post-prostate surgery. While some treatments exist, artificial urethral sphincter prostheses offer the most effective and lasting solution for SUI.

Area of Science:

  • Urology
  • Surgical Oncology
  • Reconstructive Surgery

Context:

  • Stress urinary incontinence (SUI) is a common complication following prostate surgery, with higher prevalence after procedures for malignant conditions (5-35%) compared to benign diseases (0-2%).
  • Spontaneous improvement of SUI can occur up to one year post-radical prostatectomy for prostate cancer.

Purpose:

  • To review the prevalence of stress urinary incontinence after prostatic surgery and evaluate current treatment options.
  • To highlight the efficacy and long-term outcomes of various SUI management strategies.

Summary:

  • Post-prostatectomy SUI prevalence varies significantly based on surgical indication.
  • Medical treatments like duloxetine and minimally invasive procedures (urethral bulking, male slings) are generally effective only for mild SUI.

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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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  • Artificial urethral sphincter (AUS) prosthesis implantation is recognized as the gold standard for managing moderate to severe SUI, offering effective and durable results.

    • Impact:

    • Provides a clear overview of SUI prevalence and treatment effectiveness after prostate surgery.
    • Informs clinical decision-making regarding the optimal management of post-prostatectomy SUI.
    • Emphasizes the role of artificial urinary sphincters as a definitive treatment for persistent SUI.