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Contemporary management of postprostatectomy incontinence.

Publication ,  Journal Article
Bauer, RM; Gozzi, C; Hübner, W; Nitti, VW; Novara, G; Peterson, A; Sandhu, JS; Stief, CG
Published in: Eur Urol
June 2011

CONTEXT: In recent years, despite improvement in the surgical technique, the prevalence of postprostatectomy incontinence has increased due to a rise in the number of radical prostatectomies performed annually. OBJECTIVE: The aim of this review is to evaluate contemporary noninvasive and invasive treatment options for postprostatectomy incontinence. EVIDENCE ACQUISITION: In August 2010, a review of the literature was performed using the Medline database. EVIDENCE SYNTHESIS: All articles concerning noninvasive and invasive treatment for postprostatectomy incontinence were included. CONCLUSIONS: No randomised controlled trials exist to compare currently used noninvasive and invasive treatments for postprostatectomy incontinence. Pelvic floor muscle training is recommended for the initial treatment of stress urinary incontinence (SUI). Additionally, antimuscarinic therapy should be applied for urgency or urge incontinence. For decades, the artificial urinary sphincter was the reference standard for persistent SUI. Nowadays, male slings are an alternative for men with mild to moderate postprostatectomy SUI.

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Published In

Eur Urol

DOI

EISSN

1873-7560

Publication Date

June 2011

Volume

59

Issue

6

Start / End Page

985 / 996

Location

Switzerland

Related Subject Headings

  • Urology & Nephrology
  • Urologic Surgical Procedures, Male
  • Urodynamics
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Urge
  • Urinary Incontinence, Stress
  • Treatment Outcome
  • Suburethral Slings
  • Prostatectomy
  • Physical Therapy Modalities
 

Citation

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Bauer, R. M., Gozzi, C., Hübner, W., Nitti, V. W., Novara, G., Peterson, A., … Stief, C. G. (2011). Contemporary management of postprostatectomy incontinence. Eur Urol, 59(6), 985–996. https://doi.org/10.1016/j.eururo.2011.03.020
Bauer, Ricarda M., Christian Gozzi, Wilhelm Hübner, Victor W. Nitti, Giacomo Novara, Andrew Peterson, Jaspreet S. Sandhu, and Christian G. Stief. “Contemporary management of postprostatectomy incontinence.Eur Urol 59, no. 6 (June 2011): 985–96. https://doi.org/10.1016/j.eururo.2011.03.020.
Bauer RM, Gozzi C, Hübner W, Nitti VW, Novara G, Peterson A, et al. Contemporary management of postprostatectomy incontinence. Eur Urol. 2011 Jun;59(6):985–96.
Bauer, Ricarda M., et al. “Contemporary management of postprostatectomy incontinence.Eur Urol, vol. 59, no. 6, June 2011, pp. 985–96. Pubmed, doi:10.1016/j.eururo.2011.03.020.
Bauer RM, Gozzi C, Hübner W, Nitti VW, Novara G, Peterson A, Sandhu JS, Stief CG. Contemporary management of postprostatectomy incontinence. Eur Urol. 2011 Jun;59(6):985–996.
Journal cover image

Published In

Eur Urol

DOI

EISSN

1873-7560

Publication Date

June 2011

Volume

59

Issue

6

Start / End Page

985 / 996

Location

Switzerland

Related Subject Headings

  • Urology & Nephrology
  • Urologic Surgical Procedures, Male
  • Urodynamics
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Urge
  • Urinary Incontinence, Stress
  • Treatment Outcome
  • Suburethral Slings
  • Prostatectomy
  • Physical Therapy Modalities