Urol. praxi, 2014; 15(2): 68-71
New treatment for male urinary stress incontinence
- Urologické oddělení Nemocnice České Budějovice, a.s.
Postoperative urinary incontinence has a major impact on patient satisfaction after radical prostatectomy. Urethral sphincter incompetence
is generally considered to be the most important contributing factor to post-prostatectomy incontinence (PPI). The most common
treatments include periurethral bulking agents, artificial urinary sphincter, and various male slings. Bulking agents due to their general
lack of efficacy, do not recommend for treating of PPI. Recent evidence has demonstrated that male slings are most efficacious in men
with mild and moderate incontinence. In more severe inkontinence, especially following radiotherapy, the artificial urinary sphincter
typically offers predictably reliable efficacy. Recent advancements in sling technology may provide improved efficacy even in those
with more severe inkontinence.
Keywords: post-prostatectomy inkontinence, bulking agents, artificial urinary sphincter, male sling
Published: April 21, 2014 Show citation
References
- Kučera Z. Výskyt inkontinence v české populaci, Sestra 12/2009.
- Herschorn S, Bruschini H, Comiter C, Grise P, Hanus T, Kirschner-Hermanns R, Abrams P. Surgical treatment of stress incontinence in men, Neurourol Urodynam 2010; 29: 179-190.
Go to original source... 
Go to PubMed... - Loughlin KR, Prasad MM. Post-prostatectomy urinary incontinence: a influence of 3 factors, J Urology 2010; 183: 871-877. Go to original source... Go to PubMed...
- Hübner WA, Hübner NA. Re-adjustable male slings: J Urology 2013; 3: 146-149. Go to original source...
- Walsh IK, Williams SG, Mahendra V, Nambirajan T, Stone AR. Artificial urinary sphincter implantation in the irradiated patient: safety, efficacy and satisfaction, BJU International 2002; 89: 364-368. Go to original source... Go to PubMed...
- Lai HH, Hsu El, The BS, Butler EB, Boone TB. 13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine, J Urol., 2007 Mar; 177(3): 1021-1025. Go to original source... Go to PubMed...
- Comiter VC, Elliott Ch. Surgery for post-prostatectomy incontinence - a changing field, Med Surg Uro 2013; S8. Go to original source...
- Tuygun C, Imamoglu A, Gucuk A, Goktug G, Demirel F. Comparison of outcomes for adjustable bulbourethral male sling and artificial urinary sphincter after previous artificial urinary sphincter erosion, Urology 2009; 73: 1363-1367. Go to original source... Go to PubMed...
- Dubbelman YD, Bosch Ruud JLH. Urethral sphincter function before and after radical prostatectomy: systematic review of the prognostic value of various assessment techniques, Neurourol Urodynam 2013; 32: issue 7, 957-963. Go to original source...
- Urban M, Heráček J, Novotný T. Současné možnosti chirurgické léčby inkontinence moči u mužů po operaci prostaty, Urol. praxi, 2012; 13(5): 200-203.
- Hübner WA, Gallistl H, Rutkowski M, Huber ER. Adjustable bulbourethral male sling: experience after 101 cases of moderate-to-severe male stress urinary inkontinence, BJU Int 2010; 1-6. Go to original source...
- Bochove-Overgaauw DM, Schrier BPh. An adjustable sling for the treatment of all degree of male stress urinary incontinence: retrospective evaluation of efficacy and complications after a minimal folowup of 14 months, J Urology 2011; 185: 1363-1368. Go to original source... Go to PubMed...
- Welk BK, Herschorn S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes, BJU Int. 2011; 329-344. Go to original source... Go to PubMed...
- Cassini MF, Mazzo A, Tucci JrS. Male sling for urinary incontinence after radical prostatectomy: inicial results, Science Research 2013; 1(3): 35-38. Go to original source...
- Sewerin J, Bauer W, Ponholzer A, Schramek P. Initial experience and results with a new adjustable transobturator male system for the treatment of stress urinary incontinence, J Urology 2012; 187: 964-969. Go to original source... Go to PubMed...