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Posted by on Dec 22, 2018 in Urinary incontinence | 0 comments

In a nutshell

This study reported on the most recent expert recommendations on post-surgery stress urinary incontinence (SUI) in men. 

Some background

Stress urinary incontinence (SUI) is the unintentional loss of urine due to stress put on the bladder. This stress can result from sneezing or exercising. This is a common side-effect of surgery to remove the prostate gland in patients with prostate cancer. SUI can lead to a decreased quality of life. This study reported on the recommendations of the 6th International Consultation on Incontinence (ICI) on post-surgery SUI. 

Methods & findings

Assessing UI can be done using a voiding diary and pad tests. Cystoscopy (a thin tube with a camera inserted through the urethra that examines the bladder) and/or urodynamics (tests that show how well the bladder works) can be used to decide on treatment. 

Artificial Urinary Sphincter (AUS) is the preferred treatment for men with SUI after prostate surgery. The AUS is designed to help the function of the natural urinary sphincter that restricts urine flow out of the bladder. Male slings are an acceptable approach for men with mild to moderate SUI. This sling can help support the urinary sphincter muscle. 

If infection or tissue damage occurs after AUS implantation it may need to be removed. Further research is recommended for long-term results. These could include any side-effects taking place long after surgery.

The bottom line

This study presented current recommendations for men with SUI. It found that the AUS implant is the preferred treatment for these patients. 

Published By :

Neurourology and urodynamics

Date :

Oct 23, 2018

Original Title :

Surgical treatment of post-prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinence.

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