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Related Experiment Videos

Postprostatectomy incontinence. Pathophysiology, evaluation, and management.

J Foote1, S Yun, G E Leach

  • 1Department of Urology, Southern California Permanente Medical Center, Los Angeles.

The Urologic Clinics of North America
|May 1, 1991
PubMed
Summary
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Urodynamic studies are crucial for diagnosing bladder dysfunction, a common cause of incontinence after prostatectomy. Effective treatment of bladder issues before artificial urinary sphincter implantation improves outcomes.

Area of Science:

  • Urology
  • Nephrology

Background:

  • Postprostatectomy incontinence is frequently caused by bladder dysfunction, including poor compliance and detrusor instability.
  • Sphincter insufficiency often coexists with bladder dysfunction in these patients.

Purpose of the Study:

  • To emphasize the essential role of urodynamic studies in evaluating postprostatectomy incontinence.
  • To highlight the importance of diagnosing and managing bladder dysfunction before considering artificial urinary sphincter implantation.

Main Methods:

  • Clinical history and physical examination.
  • Radiologic studies.
  • Urodynamic studies.

Main Results:

  • Urodynamics are essential for identifying bladder dysfunction.

Related Experiment Videos

  • Appropriate management based on comprehensive evaluation optimizes treatment success.
  • Conclusions:

    • Bladder dysfunction is a significant contributor to postprostatectomy incontinence.
    • Effective management of bladder dysfunction is a prerequisite for successful artificial urinary sphincter implantation.