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The effect of surgical intervention for stress urinary incontinence (UI) on post-prostatectomy UI during sexual activity.
BJU Int. 2012 Apr; 109(8):1208-12.BI

Abstract

OBJECTIVE

To determine the impact of anti-incontinence surgical procedures (artificial urinary sphincter [AUS] or male sling) on bother due to urinary incontinence (UI) during sexual activity after radical prostatectomy (RP).

PATIENTS AND METHODS

Between October 2000 and December 2007, 27 men in a large single-surgeon RP series underwent anti-incontinence surgery with an AUS or male sling. In all, 16 of these 27 men completed a questionnaire retrospectively capturing bother attributable to UI during arousal and orgasm and the impact of the AUS/male sling on UI and sexual quality of life (QoL).

RESULTS

In all, 15 men were evaluable. Of these, 11 were sexually active; four and seven men underwent AUS and sling placement, respectively. All 11 men had a marked improvement in stress UI symptoms, which was the primary indication for surgery. All men undergoing AUS had an improvement in their sexual QoL, and most (three of four men) indicated marked improvement. Slightly more than half of men undergoing the sling procedure reported marked improvement in sexual QoL.

CONCLUSIONS

Our study shows a beneficial effect of anti-incontinence surgery on UI during sexual activity. Whether these surgical approaches would benefit men with significant bother due to UI limited to sexual activity warrants further investigation.

Authors+Show Affiliations

Department of Urology, New York University School of Medicine, NY 10016, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21895932

Citation

Jain, Rajat, et al. "The Effect of Surgical Intervention for Stress Urinary Incontinence (UI) On Post-prostatectomy UI During Sexual Activity." BJU International, vol. 109, no. 8, 2012, pp. 1208-12.
Jain R, Mitchell S, Laze J, et al. The effect of surgical intervention for stress urinary incontinence (UI) on post-prostatectomy UI during sexual activity. BJU Int. 2012;109(8):1208-12.
Jain, R., Mitchell, S., Laze, J., & Lepor, H. (2012). The effect of surgical intervention for stress urinary incontinence (UI) on post-prostatectomy UI during sexual activity. BJU International, 109(8), 1208-12. https://doi.org/10.1111/j.1464-410X.2011.10506.x
Jain R, et al. The Effect of Surgical Intervention for Stress Urinary Incontinence (UI) On Post-prostatectomy UI During Sexual Activity. BJU Int. 2012;109(8):1208-12. PubMed PMID: 21895932.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of surgical intervention for stress urinary incontinence (UI) on post-prostatectomy UI during sexual activity. AU - Jain,Rajat, AU - Mitchell,Sarah, AU - Laze,Juliana, AU - Lepor,Herbert, Y1 - 2011/09/02/ PY - 2011/9/8/entrez PY - 2011/9/8/pubmed PY - 2012/9/14/medline SP - 1208 EP - 12 JF - BJU international JO - BJU Int VL - 109 IS - 8 N2 - OBJECTIVE: To determine the impact of anti-incontinence surgical procedures (artificial urinary sphincter [AUS] or male sling) on bother due to urinary incontinence (UI) during sexual activity after radical prostatectomy (RP). PATIENTS AND METHODS: Between October 2000 and December 2007, 27 men in a large single-surgeon RP series underwent anti-incontinence surgery with an AUS or male sling. In all, 16 of these 27 men completed a questionnaire retrospectively capturing bother attributable to UI during arousal and orgasm and the impact of the AUS/male sling on UI and sexual quality of life (QoL). RESULTS: In all, 15 men were evaluable. Of these, 11 were sexually active; four and seven men underwent AUS and sling placement, respectively. All 11 men had a marked improvement in stress UI symptoms, which was the primary indication for surgery. All men undergoing AUS had an improvement in their sexual QoL, and most (three of four men) indicated marked improvement. Slightly more than half of men undergoing the sling procedure reported marked improvement in sexual QoL. CONCLUSIONS: Our study shows a beneficial effect of anti-incontinence surgery on UI during sexual activity. Whether these surgical approaches would benefit men with significant bother due to UI limited to sexual activity warrants further investigation. SN - 1464-410X UR - https://www.unboundmedicine.com/medline/citation/21895932/The_effect_of_surgical_intervention_for_stress_urinary_incontinence__UI__on_post_prostatectomy_UI_during_sexual_activity_ DB - PRIME DP - Unbound Medicine ER -