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Postprostatectomy stress urinary incontinence - Current and evolving therapies.
Aust Fam Physician. 2009 Jun; 38(6):399-404.AF

Abstract

BACKGROUND

Postprostatectomy stress urinary incontinence (PPSUI) is a clinically significant problem with an incidence of 3-60%.

OBJECTIVE

This article discusses the indications and efficacy of current and evolving surgical therapies for PPSUI as a guide for general practitioners.

DISCUSSION

Surgical intervention can be considered for bothersome PPSUI persisting longer than 12 months for which conservative therapy has failed. Careful preoperative assessment and counselling is necessary to select appropriate candidates for surgical intervention. When considering the success of various therapies for PPSUI, patient satisfaction is often related to the magnitude of incontinence pad reduction, rather than absolute pad usage per day. Currently, there are several surgical therapies available for PPSUI including bulking agents, the artificial urinary sphincter (AUS-800) and male sling devices. The AUS-800 remains the gold standard for moderate to severe PPSUI, however, sling devices demonstrate promising short to intermediate term results.

Authors+Show Affiliations

Department of Urology, Port Macquarie Base Hospital, New South Wales. ianandvanessa@live.com.auNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19521582

Citation

Smith, Ian A R., et al. "Postprostatectomy Stress Urinary Incontinence - Current and Evolving Therapies." Australian Family Physician, vol. 38, no. 6, 2009, pp. 399-404.
Smith IA, Shaw E, Rashid P. Postprostatectomy stress urinary incontinence - Current and evolving therapies. Aust Fam Physician. 2009;38(6):399-404.
Smith, I. A., Shaw, E., & Rashid, P. (2009). Postprostatectomy stress urinary incontinence - Current and evolving therapies. Australian Family Physician, 38(6), 399-404.
Smith IA, Shaw E, Rashid P. Postprostatectomy Stress Urinary Incontinence - Current and Evolving Therapies. Aust Fam Physician. 2009;38(6):399-404. PubMed PMID: 19521582.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postprostatectomy stress urinary incontinence - Current and evolving therapies. AU - Smith,Ian A R, AU - Shaw,Elizabeth, AU - Rashid,Prem, PY - 2009/6/13/entrez PY - 2009/6/13/pubmed PY - 2009/7/8/medline SP - 399 EP - 404 JF - Australian family physician JO - Aust Fam Physician VL - 38 IS - 6 N2 - BACKGROUND: Postprostatectomy stress urinary incontinence (PPSUI) is a clinically significant problem with an incidence of 3-60%. OBJECTIVE: This article discusses the indications and efficacy of current and evolving surgical therapies for PPSUI as a guide for general practitioners. DISCUSSION: Surgical intervention can be considered for bothersome PPSUI persisting longer than 12 months for which conservative therapy has failed. Careful preoperative assessment and counselling is necessary to select appropriate candidates for surgical intervention. When considering the success of various therapies for PPSUI, patient satisfaction is often related to the magnitude of incontinence pad reduction, rather than absolute pad usage per day. Currently, there are several surgical therapies available for PPSUI including bulking agents, the artificial urinary sphincter (AUS-800) and male sling devices. The AUS-800 remains the gold standard for moderate to severe PPSUI, however, sling devices demonstrate promising short to intermediate term results. SN - 0300-8495 UR - https://www.unboundmedicine.com/medline/citation/19521582/Postprostatectomy_stress_urinary_incontinence___Current_and_evolving_therapies_ L2 - http://www.racgp.org.au/afp/200906/32358 DB - PRIME DP - Unbound Medicine ER -