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Treatment of postprostatectomy urinary incontinence with behavioral methods
1Urology Department, San Francisco Veterans Administration Medical Center, USA.
Clinical Nurse Specialist CNS
|July 1, 1997
Summary
Radical prostatectomy can cause urinary incontinence in men. Behavioral methods offer a promising, effective first-line treatment option for post-surgery incontinence, improving patient outcomes.
Area of Science:
- Urology
- Oncology
- Gerontology
Background:
- Prostate cancer is the most common cancer diagnosed in men.
- Radical prostatectomy is a primary treatment for localized prostate cancer, but often results in postoperative urinary incontinence.
- The incidence of postprostatectomy urinary incontinence is rising due to increased prostatectomy rates.
Purpose of the Study:
- To explore the potential of behavioral methods in treating postprostatectomy urinary incontinence.
- To highlight the limitations of current pharmacological and surgical treatments.
- To emphasize the role of advanced practice nurses in managing this condition.
Main Methods:
- Review of medical literature on postprostatectomy urinary incontinence treatments.
- Analysis of current treatment guidelines recommending behavioral interventions.
- Exploration of the efficacy of behavioral methods for stress and urge incontinence.
Main Results:
- Current pharmacological and surgical treatments for postprostatectomy incontinence have limited success.
- Many patients are left with persistent incontinence despite standard therapies.
- Behavioral methods are recommended as first-line treatments for incontinence.
Conclusions:
- Behavioral methods present a promising therapeutic avenue for postprostatectomy urinary incontinence.
- These methods offer a viable alternative for patients unresponsive to conventional treatments.
- Advanced practice nurses can play a key role in implementing behavioral interventions for affected men.