| Abstract: |
Male stress urinary incontinence (SUI) may result from a variety of insults to the male sphincter complex, with radical prostatectomy responsible for the majority of current cases. The increase in men receiving radical therapy for prostate cancer has resulted in more men requiring treatment for SUI. The duration of SUI is variable, with many men improving during their first post-operative year. For persistent SUI, a thorough evaluation including history, physical, urinalysis, post-void residual (PVR), frequency-volume chart, blood work, cystourethroscopy and urodynamic studies should be performed. Treatments may be tailored according to the degree of incontinence and instituted in increasing levels of complexity and invasiveness. Patients may begin with conservative treatment, such as pelvic floor muscle exercises and biofeedback. Urethral bulking agents, adjustable balloons, urethral slings and the artificial urinary sphincter (AUS) may be used next. The AUS remains the gold-standard treatment for male SUI, with high success and patient satisfaction rates. Increased use of minimally invasive modalities is likely as more long-term data are collected and with increased surgical experience. © Touch Medical Media 2012. |
