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Post-prostatectomy stress urinary incontinence: a review of contemporary surgical treatments

Published online by Cambridge University Press:  16 May 2014

Luis Resel-Folkersma ,
Jesús Salinas-Casado  and
Jesús Moreno-Sierra
Luis Resel-Folkersma*
Affiliation:
Urology Department, Clinico San Carlos Hospital, Madrid, Spain
Jesús Salinas-Casado
Affiliation:
Urology Department, Clinico San Carlos Hospital, Madrid, Spain
Jesús Moreno-Sierra
Affiliation:
Urology Department, Clinico San Carlos Hospital, Madrid, Spain
*
Address for correspondence: Dr Luis Resel-Folkersma, Urology Department, Clínico San Carlos Hospital, C/Profesor Martín Lagos s/n, Madrid 28040, Spain. Email: [email protected]
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Summary

Prostate cancer is the most frequent tumour diagnosed in men, especially in older people. Radical prostatectomy is the treatment of choice for this disease, but is also the main cause of stress urinary incontinence in men by iatrogenic injury. This procedure is performed far more frequently now than 10 years ago, so the incidence of post-prostatectomy incontinence (PPUI) has increased. PPUI has a detrimental impact on a patient's quality of life and is a significant problem that needs to be solved. The artificial urinary sphincter is still the gold standard treatment for PPUI. In recent years, less invasive approaches such as suburethral slings have been used with promising results. The selection criteria and most appropriate choice of device for the treatment of PPUI are not well standardized. In this review, the different forms of assessment and management of PPUI will be discussed.

Keywords

post-prostatectomy incontinencemale stress urinary incontinenceartificial urinary sphinctermale slingsbulking agents
Type
Review Article
Information
Reviews in Clinical Gerontology , Volume 24 , Issue 3 , August 2014 , pp. 191 - 204
Copyright
Copyright © Cambridge University Press 2014 

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