Contemporary Management of Postprostatectomy Incontinence

被引：171

作者：

Bauer, Ricarda M. ^{[1
]}

Gozzi, Christian ^{[2
]}

Huebner, Wilhelm ^{[3
]}

Nitti, Victor W. ^{[4
]}

Novara, Giacomo ^{[5
]}

Peterson, Andrew ^{[6
]}

Sandhu, Jaspreet S. ^{[7
]}

Stief, Christian G. ^{[1
]}

机构：

[1] Univ Munich, Dept Urol, D-81377 Munich, Germany

[2] Clin Brixen, Dept Urol, Brixen, Italy

[3] Clin Korneuburg, Dept Urol, Korneuburg, Australia

[4] NYU, Dept Urol, Langone Med Ctr, New York, NY USA

[5] Univ Padua, Urol Clin, Dept Oncol & Surg Sci, Padua, Italy

[6] Duke Univ, Med Ctr, Dept Surg, Div Urol, Durham, NC 27710 USA

[7] Mem Sloan Kettering Canc Ctr, Dept Surg, Urol Serv, New York, NY 10021 USA

来源：

EUROPEAN UROLOGY | 2011年 / 59卷 / 06期

关键词：

Postprostatectomy incontinence; Male stress urinary incontinence; Male urinary incontinence therapy; Urgency; Radical prostatectomy; Prostate cancer; diagnosis; treatment; Pharmacological treatment; Pelvic floor muscle training; Artificial urinary sphincter; Male sling; Bulking agents; STRESS URINARY-INCONTINENCE; RADICAL RETROPUBIC PROSTATECTOMY; ADJUSTABLE CONTINENCE THERAPY; RANDOMIZED CONTROLLED-TRIAL; QUALITY-OF-LIFE; DEXTRANOMER-BASED IMPLANT; III MULTICENTER TRIAL; FOLLOW-UP; POSTRADICAL PROSTATECTOMY; SPHINCTER IMPLANTATION;

D O I：

10.1016/j.eururo.2011.03.020

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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. (C) 2011 European Association of Urology. Published by Elsevier B.V. All rights reserved.

引用

页码：985 / 996

页数：12

共 101 条

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