A pragmatic approach to the characterization and effective treatment of male patients with postprostatectomy incontinence

作者：Cornu Jean Nicolas; Melot Charlotte; Haab Francois^*

来源：Current Opinion in Urology, 2014, 24(6): 566-570.

DOI：10.1097/MOU.0000000000000112

• artificial urinary sphincter
• male slings
• prostate cancer
• urinary incontinence

Purpose of review
To highlight the recent developments in the past 12 months in the field of postprostatectomy incontinence.
Recent findings
The evaluation of postprostatectomy incontinence is mainly based on clinical details and symptoms assessment. The situation in which urodynamics will change the management and influence clinical decision-making is still unknown. MRI may play a role in the future for postprostatectomy incontinence assessment. Artificial urinary sphincter is the most widely used treatment, and the literature is full of technical reports to improve the management of challenging cases and minimize the risk of complications. Advance male sling has been the subject of multiple reports that support its safety and efficacy. Many other innovative devices have been presented but not adequately tested.
Summary
Evaluation of postprostatectomy incontinence is based on clinical data, involving symptoms assessment, quality of life, and incontinence severity. Endoscopy is requested, and urodynamic study indications are debated. The treatment is mainly focused on surgical options, of which artificial urinary sphincter and transobturator male slings are the two leaders. The field is critically lacking of comparative studies.

• 出版日期2014-11