Contemporary management of postprostatectomy incontinence Journal Article


Authors: Bauer, R. M.; Gozzi, C.; Hübner, W.; Nitti, V. W.; Novara, G.; Peterson, A.; Sandhu, J. S.; Stief, C. G.
Article Title: Contemporary management of postprostatectomy incontinence
Abstract: Context: In recent years, despite improvement in the surgical technique, the prevalence of postprostatectomy incontinence has increased due to a rise in the number of radical prostatectomies performed annually. Objective: The aim of this review is to evaluate contemporary noninvasive and invasive treatment options for postprostatectomy incontinence. Evidence acquisition: In August 2010, a review of the literature was performed using the Medline database. Evidence synthesis: All articles concerning noninvasive and invasive treatment for postprostatectomy incontinence were included. Conclusions: No randomised controlled trials exist to compare currently used noninvasive and invasive treatments for postprostatectomy incontinence. Pelvic floor muscle training is recommended for the initial treatment of stress urinary incontinence (SUI). Additionally, antimuscarinic therapy should be applied for urgency or urge incontinence. For decades, the artificial urinary sphincter was the reference standard for persistent SUI. Nowadays, male slings are an alternative for men with mild to moderate postprostatectomy SUI. © 2011 European Association of Urology.
Keywords: treatment outcome; surgical technique; constipation; fatigue; review; placebo; diarrhea; drug efficacy; drug safety; cancer radiotherapy; nausea; libido disorder; evidence based practice; stem cell transplantation; ultrasound; prostate cancer; postoperative complication; insomnia; conservative treatment; urine incontinence; prostatectomy; urinary tract infection; collagen; xerostomia; postoperative infection; radical prostatectomy; feedback system; cystoscopy; hyaluronic acid; physical examination; urinalysis; lifestyle modification; wound infection; urine retention; politef; non invasive procedure; physiotherapy; duloxetine; clinical trial (topic); silicone; bladder sphincter prosthesis; pelvic floor muscle training; stress incontinence; suburethral sling; urodynamics; artificial urinary sphincter; bulking agents; male sling; male stress urinary incontinence; male urinary incontinence therapy; pharmacological treatment; postprostatectomy incontinence; prostate cancer, diagnosis, treatment; urgency; bulking agent; dextranomer; dimeticone; muscarinic receptor blocking agent; pyrolytic carbon; biofeedback training; bone anchored sling; extracorporeal magnetic innervation therapy; invasive procedure; kidney innervation; mixed incontinence; overactive bladder; readjustable sling system; retrourethral transobturator sling; transobturator tape; urge incontinence
Journal Title: European Urology
Volume: 59
Issue: 6
ISSN: 0302-2838
Publisher: Elsevier Science, Inc.  
Date Published: 2011-06-01
Start Page: 985
End Page: 996
Language: English
DOI: 10.1016/j.eururo.2011.03.020
PROVIDER: scopus
PUBMED: 21458914
DOI/URL:
Notes: --- - "Export Date: 23 June 2011" - "CODEN: EUURA" - "Source: Scopus"
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  1. Jaspreet Sandhu
    120 Sandhu