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Contemporary management of postprostatectomy incontinence
Ricarda M Bauer1, Christian Gozzi, Wilhelm Hübner
1Department of Urology, Ludwig-Maximilian-University, Munich, Germany. Ricarda.Bauer@med.uni-muenchen.de
European Urology
|April 5, 2011
Summary
Post-prostatectomy incontinence management includes pelvic floor muscle training for stress urinary incontinence (SUI) and antimuscarinic therapy for urge incontinence. Male slings offer an alternative for persistent SUI.
Area of Science:
- Urology
- Surgical Oncology
- Pelvic Health
Background:
- Increasing prevalence of postprostatectomy incontinence linked to rising radical prostatectomy rates.
- Despite surgical advancements, managing incontinence after prostatectomy remains a significant clinical challenge.
Purpose of the Study:
- To review and evaluate current noninvasive and invasive treatment strategies for postprostatectomy incontinence.
- To provide an overview of available therapeutic options for patients experiencing incontinence after prostate surgery.
Main Methods:
- Comprehensive literature review conducted in August 2010.
- Utilized the Medline database to identify relevant studies on postprostatectomy incontinence treatments.
Main Results:
- Included all studies addressing noninvasive and invasive treatments for postprostatectomy incontinence.
- No randomized controlled trials were found comparing existing treatments.
Conclusions:
- Pelvic floor muscle training is recommended as a first-line treatment for stress urinary incontinence (SUI).
- Antimuscarinic therapy is advised for urgency or urge incontinence.
- Male slings are emerging as an alternative to artificial urinary sphincters for mild to moderate SUI.
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