Treatment of postprostatectomy incontinence

Every surgeon who is involved in prostatic surgery should have a good knowledge of the anatomy and the physiology of the urinary bladder and the sphincter system in male. The cause and the treatment of postprostatectomy incontinence is discussed in detail. The expectancy time in postprostatectomy incontinence is recommended to be long enough (1-1 1/2 years) because this harmful complication of 1-2 degree leaks in 85% within a year. So far the operative treatment of 2-3 grade postoperative incontinence is limited to the use of Scott prosthesis where the success rate varies according to different authors from 60 to 85% in 5 years observation time.