Management of Postradical Prostatectomy Urinary Incontinence: A Review.

Area of Science:

• Urology
• Surgical Oncology

Background:

• Radical prostatectomy can lead to postprostatectomy urinary incontinence (PPI).
• PPI significantly diminishes patients' quality of life.
• Common types include stress and overflow incontinence, linked to sphincteric incompetence and detrusor hypocontractility.

Purpose of the Study:

• To review and critically discuss various treatment modalities for postprostatectomy urinary incontinence.
• To emphasize the safety and efficacy of different therapeutic options.

Main Methods:

• Literature review of treatment options for postprostatectomy urinary incontinence.
• Critical discussion of conservative, pharmacologic, and surgical interventions.

Main Results:

• Conservative treatments like pelvic floor muscle training and biofeedback are initial approaches.
• Pharmacotherapy addresses overactive bladder symptoms.
• Transurethral bulking agents are an option for stress incontinence.
• Artificial urinary sphincters and male slings demonstrate high efficacy and success rates.

Conclusions:

• A range of treatments exist for postprostatectomy urinary incontinence.
• Surgical interventions, particularly artificial urinary sphincters and male slings, offer effective solutions for stress incontinence.
• Treatment selection requires careful consideration of safety and efficacy for individual patients.