Related Experiment Video
Updated: Feb 27, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
9.6K
Post-Prostatectomy Incontinence: How Common and Bothersome Is It Really?
Vera Trofimenko1, Jeremy B Myers2, William O Brant2
1Division of Urology, University of Utah Medical Center, Salt Lake City, UT, USA.
Sexual Medicine Reviews
|June 24, 2017
Summary
Post-prostatectomy urinary incontinence (PPI) significantly impacts quality of life, with varied success in prevention and reporting. Discrepancies between patient and surgeon outcomes complicate management and counseling for this common complication.
Area of Science:
- Urology
- Men's Health
- Quality of Life Research
Background:
- Post-prostatectomy urinary incontinence (PPI) is a significant concern affecting patients' quality of life.
- Current mitigation strategies show variable success, highlighting a need for improved understanding and management.
Purpose of the Study:
- To elucidate the multifactorial physiology of PPI.
- To review preoperative predictive factors and evaluation methods for PPI.
- To explore the disparity in patient- versus surgeon-reported outcomes and its impact on sexual function.
Main Methods:
- A representative sample of principal studies on PPI was selected.
- A PubMed search using relevant terms was conducted from 1994 to the present.
Main Results:
- The review covers PPI pathophysiology, predictors, prevalence, and evaluation methods.
- Findings address PPI's role in sexual activity, prevention strategies, and outcome reporting variability.
Conclusions:
- Heterogeneity in outcome measurements complicates PPI prevention and improvement efforts.
- Patient age, incontinence definitions, and baseline incontinence challenge data interpretation.
- Discrepancies between patient- and surgeon-reported outcomes, and potential under-counseling, impact quality of life and sexual satisfaction discussions.
Related Concept Videos
01:21Nursing Assessment of the Genitourinary System I: Health History
499
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,...
499
01:20Disorders of the Male Reproductive System
5.2K
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
5.2K
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
482
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
482
01:25Urinary Tract Calculi VI: Surgical Management
672
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...
672
01:25Urinary Tract Infection II: Pathophysiology
899
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
899
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
368
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
368