The problem of postprostatectomy incontinence
Post-prostatectomy incontinence (PPI) is a significant problem for both patient and physician. The patient probably had normal urinary control preoperatively, and the sudden lack of control following surgery may overwhelm him. The physician may feel he is responsible because of surgical misadventure, but as this chapter describes, most PPI is inherent in the patients pre-existing physiology. The cases that in the past have been attributed to surgical error can now be avoided most of the time by understanding the anatomy and physiology and adhering to careful surgical techniques. When PPI is encountered, more accurate diagnostic techniques such as urodynamics can help to plan both conservative and surgical treatments, both of which have also advanced significantly.
