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Related Experiment Videos

Treatment of postprostatectomy incontinence

O Alfthan

    Annales Chirurgiae Et Gynaecologiae
    |January 1, 1982
    PubMed
    Summary

    Postprostatectomy incontinence often resolves within 1-1.5 years, especially for mild leaks. For severe cases, the Scott prosthesis offers a variable success rate, highlighting the need for informed surgical decisions.

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    Area of Science:

    • Urology
    • Surgical Anatomy
    • Physiology

    Background:

    • Prostatic surgery necessitates a thorough understanding of male urinary bladder and sphincter anatomy/physiology.
    • Postprostatectomy incontinence is a significant complication requiring detailed discussion on causes and management.

    Purpose of the Study:

    • To detail the causes and treatment of postprostatectomy incontinence.
    • To provide recommendations for managing incontinence following prostatectomy.

    Main Methods:

    • Review of anatomical and physiological factors relevant to urinary continence.
    • Analysis of treatment outcomes for postprostatectomy incontinence, including conservative and surgical approaches.

    Main Results:

    • A recommended expectancy time of 1-1.5 years for postprostatectomy incontinence is suggested, with 85% of 1-2 degree leaks resolving within a year.
    • The Scott prosthesis is the primary surgical option for 2-3 grade postoperative incontinence, with reported 5-year success rates ranging from 60% to 85%.

    Conclusions:

    • Conservative management with adequate observation time is effective for mild postprostatectomy incontinence.
    • Surgical intervention, such as the Scott prosthesis, is an option for refractory incontinence, though outcomes vary.

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