[Treatment of male incontinence]

Male urinary incontinence may be due to a variety of pathophysiological mechanisms: detrusor hyper- or hypoactivity, lower obstruction and, most frequently, sphincter incompetence, generally secondary to surgery. As far as possible, treatment should be aetiopathogenic, with the use of drugs for detrusor dysfunction. The treatment of sphincter incompetence primarily consists of prophylaxis and education of urologists. When a lesion does not resolve with time, i.e. after more than one year of physiotherapy or drugs, the artificial sphincter may be indicated with good results in more than 90% of cases.