Operative Therapy for Stress Urinary Incontinence in Men - From Sling to Artificial Sphincter

被引:2
作者
Nyarangi-Dix, J. [1 ]
Huber, J. [1 ]
Haferkamp, A. [1 ]
Hohenfellner, M. [1 ]
机构
[1] Urol Univ Klin Heidelberg, Heidelberg, Germany
关键词
prostatectomy; incontinence; sphincter; male sling; ADJUSTABLE CONTINENCE THERAPY; RADICAL RETROPUBIC PROSTATECTOMY; III MULTICENTER TRIAL; MEAN FOLLOW-UP; POSTPROSTATECTOMY INCONTINENCE; COLLAGEN INJECTION; SURGICAL TECHNIQUE; OUTCOMES; COMPLICATIONS; IMPLANTATION;
D O I
10.1055/s-0031-1271547
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
Radical prostatectomy is the most common cause of male urinary incontinence. Up to 90% of the patients are incontinent in the early postoperative phase. This rate reduces to 3-23% approximately 12 months after prostatectomy. Male slings and the ProACT (TM)-Ballon system are preferred minimal invasive therapeutic options for mild to moderate incontinence. Mid-term continence rates of 50-80% can be achieved with bone anchored and adjustable slings or the adjustable ProACT (TM)-Ballon system. The results after radiation therapy are significantly poorer. Randomised controlled trials with longer follow-ups are necessary in order to evaluate the effectiveness of these options for continence therapy. Considering the high continence rates of 73-92% in long-term follow-ups, the artificial urinary sphincter (AUS) still remains the gold standard in the therapy for incontinence in men with normal dexterity and mental status. In cases where continence cannot be achieved by implantation of an AUS, a urinary diversion can be taken into consideration.
引用
收藏
页码:306 / 310
页数:5
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