Stress urinary incontinence in the prostate cancer survivor.

Published

Journal Article (Review)

PURPOSE OF REVIEW: Urinary incontinence after treatment for prostate cancer is common, and the burden of disease is substantial with an increasing number of prostate cancer survivors. We aim to review recent advances in this field with a focus on therapeutic surgical interventions and their outcomes. RECENT FINDINGS: Recent studies have proven the efficacy of the male transobturator sling while elucidating the prognostic factors associated with its failure. Heavy incontinence and radiation history are strongly associated with poor outcomes after a sling. The artificial urinary sphincter continues to provide excellent outcomes even in patients with prior sling failure. A new quadratic sling has been introduced to the market, but clinical outcomes data are sparse. The use of urethral bulking and oral medicines for stress incontinence remains low because of inconsistent results. SUMMARY: Stress urinary incontinence after prostate cancer treatment is common. Fortunately, there are excellent options for managing stress urinary incontinence in men, and recent data have allowed us to approach this problem in a systematic, algorithmic fashion.

Full Text

Duke Authors

Cited Authors

  • Gupta, S; Peterson, AC

Published Date

  • July 2014

Published In

Volume / Issue

  • 24 / 4

Start / End Page

  • 395 - 400

PubMed ID

  • 24841378

Pubmed Central ID

  • 24841378

Electronic International Standard Serial Number (EISSN)

  • 1473-6586

Digital Object Identifier (DOI)

  • 10.1097/MOU.0000000000000066

Language

  • eng

Conference Location

  • United States