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[Stress urinary incontinence in men].

Ricarda M Bauer1, Ghazal Ameli2, Daniela Schultz-Lampel3

  • 1Urologische Klinik und Poliklinik, Klinikum der Universität München - Campus Großhadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland. Ricarda.Bauer@med.uni-muenchen.de.

Der Urologe. Ausg. A
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PubMed
Summary

Male stress urinary incontinence, often caused by prostatectomy, is treated with pelvic floor physiotherapy. Surgical options are recommended if conservative methods fail for persistent incontinence.

Keywords:
ContraindicationsDiagnosticsPostprostatectomy incontinenceTreatmentUrinary incontinence

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Area of Science:

  • Urology
  • Men's Health
  • Pelvic Floor Rehabilitation

Background:

  • Male stress urinary incontinence (SUI) is frequently a complication of radical prostatectomy.
  • Post-surgical SUI significantly impacts quality of life and can cause psychological distress.

Purpose of the Study:

  • To review the current treatment landscape for male stress urinary incontinence.
  • To emphasize the role of surgical intervention when conservative measures are insufficient.

Main Methods:

  • Literature review of studies on male SUI treatment.
  • Analysis of conservative and surgical therapeutic options.
  • Consideration of patient selection criteria for surgical procedures.

Main Results:

  • Physiotherapy, focusing on pelvic floor muscle and sphincter training, is the primary conservative treatment.
  • Surgical treatment is a viable option for persistent SUI after conservative treatment failure.
  • A variety of surgical techniques are available for managing male SUI.

Conclusions:

  • Persistent male SUI warrants surgical consideration, especially in patients desiring treatment and experiencing psychological strain.
  • Surgical method selection should be guided by patient-specific contraindications.
  • Addressing iatrogenic male SUI effectively improves patient outcomes and well-being.