Urol. praxi. 2022;23(4):166-173 | DOI: 10.36290/uro.2022.046

Treatment of stress urinary incontinence in men after prostate surgery

doc. MUDr. Jozef Marenčák, PhD.
Bratislava

Male stress urinary incontinence (SUI) is common complication after radical surgery for prostate cancer. Patient´s individual features should be well kept in mind, with the aim of better assessing the individual risk of SUI. Therapy of post-prostatectomy SUI (PPSUI) can be difficult. If conservative management fails, surgical options can be used. Several surgical procedures are currently available to treat PPSUI. Out of these, artificial urinary sphincter (AUS) showed the longest record of safety and efficacy for patients with moderate to severe SUI. Male slings are an alternative approach for men with mild to moderate SUI. Other less popular options, such as injectable bulking agents or adjustable balloons should only be considered when more established procedures are contraindicated. PPSUI is one of the few urologic diseases that is iatrogenic, and therefore predictable and perhaps preventable.

Keywords: PPSUI, pathophysiology, risk factors, diagnosis, treatment, prevention.

Accepted: November 23, 2022; Published: December 5, 2022  Show citation

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Marenčák J. Treatment of stress urinary incontinence in men after prostate surgery. Urol. praxi. 2022;23(4):166-173. doi: 10.36290/uro.2022.046.
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    References

    1. Burkhard F, Bosch J, Cruz F, et al. EAU guidelines on urinary incontinence in adults. Dostupné z: https://uroweb.org/guidelines. prístup 5. 2. 2021.
    2. Abrams P, Cardozo L, Wagg A, et al. Incontinence. 6th ed. 2017. ISBN: 978-0-9569607-3-3:1-2636.
    3. Sandhu J, Breyer B, Comiter C, et al. Incontinence after prostate treatment: AUA/SUFU guideline. J Urol. 2019;202(2):369-378. Go to original source... Go to PubMed...
    4. Schifano N, Capogrosso P, Tutolo M, et al. How to prevent and manage post-prostatectomy incontinence: a review. World J Mens Health. 2020. Dostupné z: https://doi.org/10.5534/wjmh.200114. Go to original source... Go to PubMed...
    5. Heesakers J, Farag F, Bauer R, et al. Pathophysiology and contributing factors in postprostatectomy incontinence: a review. Eur Urol. 2017;71(6):936-944. Go to original source... Go to PubMed...
    6. Tienza A, Robles J, Hevia M, et al. Prevalence analysis of urinary incontinence after radical prostatectomy and influential preoperative factors in a single institution. Aging Male. 2018;21(1):24-30. Go to original source... Go to PubMed...
    7. Wessells H, Vanni A. Surgical procedures for sphincteric incontinence in the male. In: Partin A, Dmochowski R, Kavoussi L, et al. Campbell - Walsh Urology, 12th ed. Saunders Elsevier. 2021.
    8. Al-Mousa R, Hashim H. Evaluation and management of men with urinary incontinence. In: Partin A, Dmochowski R, Kavoussi L, et al. Campbell - Walsh Urology, 12th ed. Saunders Elsevier 2021. ISBN 978-0-323-54642-3: 2539-2549.
    9. Marenčák J. Stresová inkontinencia moču u mužov. Via practica. 2019;16(3):110-114.
    10. Krhut J, Zachoval R, Smith P, et al. Pad weight testing in the evaluation of urinary incontinence. Neurourol Urodyn. 2014;33(5):507-510. Go to original source... Go to PubMed...
    11. Švihra J, a kol. Inkontinencia moču. Martin: Osveta 2012. ISBN 978-80-8063-380-6: 1-328.
    12. Hall I, Neumann P, Hodges P. Do features of randomized controlled trials of pelvic floor muscle training for post­prostatectomy urinary incontinence differentiate successful from unsuccessful patient outcomes? A systematic review with a series of meta-analyses. Neurourol Urodyn. 2020;39(2):533-546. Go to original source... Go to PubMed...
    13. Milios J, Ackland T, Green D. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urol. 2019;19:116. Dostupné z: https://doi.org/10.1186/s12894-019-0546-5. Go to original source... Go to PubMed...
    14. Pané-Alemany R, Ramirez-Garcia I, Carralero-Martinez A, et al. Efficacy of transcutaneous perineal electrostimulation versus intracavitary anal electrostimulation in the treatment of urinary incontinence after a radical prostatectomy: randomized controlled trial study protocol. BMC Urol. 2021;21:12. Dostupné z: https://doi.org/10.1186/s12894-020-00718-y. Go to original source... Go to PubMed...
    15. Alan C, Eren A, Ersay A, et al. Efficacy of Duloxetine in the Early Management of Urinary Continence after Radical Prostatectomy. Curr Urol. 2015;8(1):43-48. Go to original source... Go to PubMed...
    16. Nguyen L, Leung L, Walker R, et al. The use of urethral bulking injections in post-prostatectomy stress urinary incontinence: A narrative review of the literature. Neurourol Urodyn. 2019;38(8):2060-2069. Go to original source... Go to PubMed...
    17. Ko K, Kim S, Cho S. Sling surgery for male urinary incontinence including post prostatectomy incontinence: a challenge to the urologist. Int Neurourol J. 2019;23(3):185-194. Go to original source... Go to PubMed...
    18. Averbeck M, Woodhouse C, Comiter C, et al. Surgical treat­ment of post-prostatectomy stress urinary incontinence in adult men: report from 6th Internation Consultation on Incontinence. Neurourol Urodyn. 2019;38(1):398-406. Go to original source... Go to PubMed...
    19. Marenčák J. Inkontinencia moču po operácii prostaty. Via practica. 2020;17(5):216-222.
    20. Doudt A, Zuckerman J. Male slings for post-prostatectomy incontinence. Rev Urol. 2018;20(4):158-169. Go to original source... Go to PubMed...
    21. Ha Y, Yoo E. Artificial urinary sphincter for postradical prostatectomy urinary incontinence - is it the best option? Int Neurourol J. 2019;23(4):265-276. Go to original source... Go to PubMed...
    22. Hradec T, Hanuš T, Pavlík I. Efekt umělého svěrače AMS 800 po explantácii suburetrálneho slingu. Ces Urol. 2020;24(4)(suppl. A):9.
    23. Noordhoff T, Scheepe J, Blok B. Outcome and complications of adjustable continence therapy (ProACT™) after radical prostatectomy: 10 years' experience in 143 patients. Neurourol Urodyn. 2018;37(4):1419-1425. Go to original source... Go to PubMed...
    24. Munier P, Nicolas M, Tricard T, et al. What if artificial urinary sphincter is not possible? Feasibility and effectiveness of ProAct for patients with persistent stress urinary incontinence after radical prostatectomy treated by sling. Neurourol Urodyn. 2020;1-6. Dostupné z: https://doi.org./10.1002/nau.24355. Go to original source... Go to PubMed...
    25. Marenčák J. Vieme dnes efektívne a bezpečne využiť umelý močový zvierač? Bedeker Zdravia. 2018;14(1):32-33.
    26. Straczynska A, Weber-Rajek M, Strojek K, et al. The impact of pelvic floor muscle training on urinary incontinence in men after radical prostatectomy (RP) - a systematic review. Clin Interv Aging. 2019;14(1):1997-2005. Go to original source... Go to PubMed...
    27. Kadono Y, Nohara T, Kawaguchi S, et al. Investigating the mechanism underlying urinary continence recovery after radical prostatectomy: effectiveness of a longer urethral stump to prevent urinary incontinence. BJU Int. 2018;122(3):456-462. Go to original source... Go to PubMed...
    28. Vinarov A, Atala A, Yoo J, et al. Cell therapy for stress urinary incontinence: present - day frontiers. J Tissue Eng Regen Med, 2018;12(2):e1108-e1121. Go to original source... Go to PubMed...
    29. Marenčák J. Význam a perspektívy kmeňových buniek v urológii. Kompendium medicíny extra. 2019.
    30. Atala A. Principle of tissue engineering, In: Wein A, Kavoussi L, Partin A, et al. Campbell - Walsh Urology. 11th ed. Saunders Elsevier 2016. ISBN 978-0-323-34148-6: 482-497.

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