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Incontinence after radical prostatectomy: surgical treatment options.
Curr Opin Urol. 2006 Mar; 16(2):60-4.CO

Abstract

PURPOSE OF REVIEW

Stress urinary incontinence is an uncommon finding in healthy men. Following radical prostatectomy, however, stress urinary incontinence is the most important complication influencing patient morbidity following surgery and influencing satisfaction, regardless of the surgical technique applied. Conservative treatment options centre at early restoration of bladder and pelvic floor function. When significant and bothersome stress urinary incontinence persists, even after six to 12 months active treatment follow-up, surgical restoration of continence seems advisable.

RECENT FINDINGS

Two themes emerge in reviewing the recent publications in this field. Implantation of the hydraulic artificial urinary sphincter is still the gold standard, particularly in severe cases. Alternatively, new techniques and other artificial materials are gaining favour, aiming at a large cohort of patients with less severe incontinence, which have been not treated or overtreated so far. Advances in both areas are covered within this review article in detail.

SUMMARY

For treatment of incontinence following prostatectomy, a large variety of surgical techniques are readily available and have proven to be helpful tools in making patients' uncomfortable lives much easier. In addition, the wide armamentarium of artificial materials and techniques may help to choose the proper surgical technique for every patients' needs.

Authors+Show Affiliations

Department of Urology, University of Vienna, Austria. christoph.klingler@meduniwien.ac.atNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16479205

Citation

Klingler, H Christoph, and Michael Marberger. "Incontinence After Radical Prostatectomy: Surgical Treatment Options." Current Opinion in Urology, vol. 16, no. 2, 2006, pp. 60-4.
Klingler HC, Marberger M. Incontinence after radical prostatectomy: surgical treatment options. Curr Opin Urol. 2006;16(2):60-4.
Klingler, H. C., & Marberger, M. (2006). Incontinence after radical prostatectomy: surgical treatment options. Current Opinion in Urology, 16(2), 60-4.
Klingler HC, Marberger M. Incontinence After Radical Prostatectomy: Surgical Treatment Options. Curr Opin Urol. 2006;16(2):60-4. PubMed PMID: 16479205.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incontinence after radical prostatectomy: surgical treatment options. AU - Klingler,H Christoph, AU - Marberger,Michael, PY - 2006/2/16/pubmed PY - 2006/6/9/medline PY - 2006/2/16/entrez SP - 60 EP - 4 JF - Current opinion in urology JO - Curr Opin Urol VL - 16 IS - 2 N2 - PURPOSE OF REVIEW: Stress urinary incontinence is an uncommon finding in healthy men. Following radical prostatectomy, however, stress urinary incontinence is the most important complication influencing patient morbidity following surgery and influencing satisfaction, regardless of the surgical technique applied. Conservative treatment options centre at early restoration of bladder and pelvic floor function. When significant and bothersome stress urinary incontinence persists, even after six to 12 months active treatment follow-up, surgical restoration of continence seems advisable. RECENT FINDINGS: Two themes emerge in reviewing the recent publications in this field. Implantation of the hydraulic artificial urinary sphincter is still the gold standard, particularly in severe cases. Alternatively, new techniques and other artificial materials are gaining favour, aiming at a large cohort of patients with less severe incontinence, which have been not treated or overtreated so far. Advances in both areas are covered within this review article in detail. SUMMARY: For treatment of incontinence following prostatectomy, a large variety of surgical techniques are readily available and have proven to be helpful tools in making patients' uncomfortable lives much easier. In addition, the wide armamentarium of artificial materials and techniques may help to choose the proper surgical technique for every patients' needs. SN - 0963-0643 UR - https://www.unboundmedicine.com/medline/citation/16479205/Incontinence_after_radical_prostatectomy:_surgical_treatment_options_ L2 - https://doi.org/10.1097/01.mou.0000193381.93608.dc DB - PRIME DP - Unbound Medicine ER -