Skip to main content
SpringerLink
Log in

Treatment Modalities of Post-prostatectomy Incontinence: A Historical Perspective as Well as Current Therapy Options

  • Chapter
  • First Online:
Management of Prostate Cancer

Part of the book series: Current Clinical Urology ((CCU))

  • 1433 Accesses

Abstract

Post-prostatectomy incontinence can be a significant complication of surgical treatment for prostate cancer, greatly affecting patient quality of life and social interaction. It is a complication, however, that can improve over time and has various treatment modalities available depending on its extent and bother to the patient. For the urologist, it is important to know exactly what options exist and their level of efficacy in order to appropriately council patients. The treatment options vary based on their levels of invasiveness, reported success, and potential complications. Some of the options are also better suited to specific degrees of incontinence. As a result, this enables the physician to set realistic expectations for their patients and offer the best care possible.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lepor H, Kaci L. The impact of open radical retropubic prostatectomy on continence and lower urinary tract symptoms: a prospective assessment using validated self-administered outcome instruments. J Urol. 2004;171:1216–9.

    PubMed  Google Scholar 

  2. Sanda MG, Dunn RL, Michalski J, Sandler HM, et al. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med. 2008;358(12):1250–61.

    PubMed  CAS  Google Scholar 

  3. Potosky AL, Davis WW, Hoffman RM, Stanford JL, Stephenson RA, Penson DF, et al. Five-year outcomes after prostatectomy or radiotherapy for prostate cancer: the prostate cancer outcomes study. J Natl Cancer Inst. 2004;96(18):1358–67.

    PubMed  Google Scholar 

  4. Stanford JL, Feng Z, Hamilton AS, Gilliland FD, Stephenson RA, Eley JW, et al. Urinary and sexual function after radical prostatectomy for clinically localized prostate cancer. JAMA. 2000;283(3):354–60.

    PubMed  CAS  Google Scholar 

  5. Walsh P, Jewett A. Radical surgery for prostatic cancer. Cancer. 1980;45:1906.

    PubMed  CAS  Google Scholar 

  6. Rudy DC, Woodside JR, Crawford ED. Urodynamic evaluation of incontinence in patients undergoing modified campbell radical retropubic prostatectomy: a prospective study. J Urol. 1984;132:708–11.

    PubMed  CAS  Google Scholar 

  7. Harris JL. Treatment of postprostatectomy urinary incontinence with behavioral methods. Clin Nurse Spec. 1997;11(4):159–66.

    PubMed  CAS  Google Scholar 

  8. Herschorn S, Bruschini H, Comiter C, Grise P, Hanus T, Kirschner-Hermanns R, et al. Surgical treatment of stress incontinence of men. Neurourol Urodyn. 2010;29(1):179–90.

    PubMed  Google Scholar 

  9. Bianco Jr FJ, Scardino PT, Eastham JA. Radical prostatectomy: long-term cancer control and recovery of sexual and urinary function (“Trifecta”). Urology. 2005;66(Suppl 5A):83–94.

    PubMed  Google Scholar 

  10. Bauer RM, Bastian PJ, Gozzi C, Stief CG. Postprostatectomy incontinence: all about diagnosis and management. Eur Urol. 2009;55:322–33.

    PubMed  Google Scholar 

  11. Bianco Jr FJ, Riedel ER, Begg CB, et al. Variations among high volume surgeons in the rate of complications after radical prostatectomy: further evidence that technique matters. J Urol. 2005;173:1848–9.

    Google Scholar 

  12. Singla AK. Male incontinence: pathophysiology and management. Indian J Urol. 2007;23(2):174–9.

    PubMed  Google Scholar 

  13. Zhang AY, Strauss GJ, Siminoff LA. Intervention of urinary incontinence and quality of life outcome in prostate cancer patients. J Psychosoc Oncol. 2006;24(2):17–30.

    PubMed  Google Scholar 

  14. Herr H. Quality of life of incontinecne men after radical prostatectomy. J Urol. 1994;151:652–4.

    PubMed  CAS  Google Scholar 

  15. Milam DF, Franke JJ. Prevention and treatment of incontinence after radical prostatectomy. Semin Urol Oncol. 1995;13(3):224–37.

    PubMed  CAS  Google Scholar 

  16. Zhang AY, Strauss GJ, Siminoff LA. Effects of combined pelvic floor muscle exercise and a support group on urinary incontinence and quality of life of postprostatectomy patients. Oncol Nurs Forum. 2007;34(1):47–53.

    PubMed  Google Scholar 

  17. Leach GE, Yip CM, Donovan BJ. Post-prostatectomy incontinence: the influence of bladder dysfunction. J Urol. 1987;138:574–8.

    PubMed  CAS  Google Scholar 

  18. Groutz A, Blaivas JG, Chaikin DC, Weiss JP, Verhaaren M. The pathophysiology of post-radical prostatectomy incontinence: a clinical and video urodynamics study. J Urol. 2000;163:1767–70.

    PubMed  CAS  Google Scholar 

  19. Jarow JP. Puboprostatic ligament sparing radical retropubic prostatectomy. Semin Urol Oncol. 2000;18(1):28–32.

    PubMed  CAS  Google Scholar 

  20. Noguchi M, Shimada A, Nakashima O, Kojiro M, Matsuoka K. Urodynamic evaluation of a suspension technique for rapid recovery of continence after radical retropubic prostatectomy. Int J Urol. 2006;13: 373–8.

    PubMed  Google Scholar 

  21. Stein M, Discippio W, Davia M, Taub H. Biofeedback for the treatment of stress and urge incontinence. J Urol. 1995;153:41–3.

    Google Scholar 

  22. Confer DJ, Beall ME. Evolved improvements in placement of the silicone gel prosthesis for post-prostatectomy incontinence. J Urol. 1981;126: 605–8.

    PubMed  CAS  Google Scholar 

  23. Anastasiadis AG, Salomon L, Katz R, et al. Radical retropubic versus laparoscopic prostatectomy: a prospective comparison of functional outcome. Urology. 2003;62:292–7.

    PubMed  Google Scholar 

  24. Jacobsen NE, Moore KN, Estey E, et al. Open versus laparoscopic radical prostatectomy: a prospective comparison of functional outcome. J Urol. 2007;177: 615–9.

    PubMed  Google Scholar 

  25. Rassweller J, Seemann O, Schulze M, et al. Laparoscopic versus open radical prostaetctomy: a comparative study at a single institution. J Urol. 2003;169:1689–93.

    Google Scholar 

  26. Gray M, Petroni GR, Theodorescu D. Urinary function after radical prostatectomy: a comparison of the retropubic and perineal approaches. Urology. 1999;53:881–90.

    PubMed  CAS  Google Scholar 

  27. Weldon VE, Tavel FR, Neuwirth H, et al. Potency and morbidity after radical perineal prostatectomy. J Urol. 1997;158:1470–5.

    PubMed  CAS  Google Scholar 

  28. Wei JT, Dunn RL, Marcovich R, Montie JE, Sanda MG. Prospective assessment of patient reported urinary continence after radical prostatectomy. J Urol. 2000;164:744–8.

    PubMed  CAS  Google Scholar 

  29. Burkhard FC, Kessler TM, Fleischmann A, Thalmann GN, Schumacher M, Studer UE. Nerve sparing open radical retropubic prostatectomy—does it have an impact on urinary continence? J Urol. 2006;176: 189–95.

    PubMed  Google Scholar 

  30. Catalona WJ, Carvalhal GF, Mager DE, et al. Continence and complication rates in 1870 consecutive radical retropubic prostatectomies. J Urol. 1999;162:433–8.

    PubMed  CAS  Google Scholar 

  31. Steiner M, Morton R, Walsh P. Impact of anatomical radical prostatectomy on urinary incontinence. J Urol. 1991;145:512–5.

    PubMed  CAS  Google Scholar 

  32. Nelson CP, Montie JE, McGuire EJ, Wedemeyer G, Wei JT. Intraoperative nerve stimulation with measurement of urethral sphincter pressure changes during radical retropubic prostatectomy: risk factors and management. J Urol. 2003;169:2225.

    PubMed  Google Scholar 

  33. Bader P, Hugonnet CL, Burkhard FC, Studer UE. Inefficient urethral milking secondary to urethral dysfunction as an additional risk factor for incontinence after radical prostatectomy. J Urol. 2001;166:2247.

    PubMed  CAS  Google Scholar 

  34. Shikanov S, Desai V, Razmaria A, Zagaja GP, Shalhav AL. Robotic radical prostatectomy for elderly patients: probability of achieving continence and potency 1 year after surgery. J Urol. 2010;183:1803–7.

    PubMed  Google Scholar 

  35. Ramon J, Leandri P, Rossignol G, Gautier JR. Urinary continence following radical retropubic prostatectomy. Br J Urol. 1993;71(1):47–51.

    PubMed  CAS  Google Scholar 

  36. Walsh PC, Partin AW, Epstein JI. Cancer control and quality of life following anatomical radical retropubic prostatectomy: results at 10 years. J Urol. 1994;152: 1831–6.

    PubMed  CAS  Google Scholar 

  37. Walsh PL, Quinlar DM, Morton RA, et al. Radical retropubic prostatectomy: improved anastomosis to urinary continence. Urol Clin North Am. 1990;17 :679–84.

    PubMed  CAS  Google Scholar 

  38. Myers RP, Goellner JR, Cahill DR. Prostate shape, external striated urethral sphincter and radical prostatectomy: the apical dissection. J Urol. 1987;138: 543–50.

    PubMed  CAS  Google Scholar 

  39. Poore RE, McCullough DL, Jarow JP. Puboprostatic ligament sparing improves urinary continence after radical retropubic prostatectomy. Urology. 1998;51:67.

    PubMed  CAS  Google Scholar 

  40. Kleinhans B, Gerharz E, Melekos M, Weingartner K, Kalble T, Riedmiller H. Changes of urodynamic findings after radical retropubic prostatectomy. Eur Urol. 1999;35:217–22.

    PubMed  CAS  Google Scholar 

  41. Ravery V. How to preserve continence after radical prostatectomy. Eur Urol. 2005;4(4):8–11.

    Google Scholar 

  42. Hellstrom P, Lukkarinen O, Kontturi M. Urodynamics in radical retropubic prostatectomy. Scand J Urol Nephrol. 1989;23:21–4.

    PubMed  CAS  Google Scholar 

  43. Coakley FV, Eberhardt S, Kattan MW, et al. Urinary continence after radical retropubic prostatectomy: relationship with membranous urethral length on preoperative endorectal magnetic resonance imaging. J Urol. 2002;168:1032–5.

    PubMed  Google Scholar 

  44. Presti Jr JC, Schmidt RA, Narayan PA, Carroll PR, Tanagho EA. Pathophysiology of urinary incontinence after radical prostatectomy. J Urol. 1990;143: 975–8.

    PubMed  Google Scholar 

  45. Lowe BA. Comparison of bladder neck preservation to bladder neck resection in maintaining postprostatectomy urinary continence. Urology. 1996;48:889–93.

    PubMed  CAS  Google Scholar 

  46. Poon M, Ruckle H, Bamshad BR, et al. Radical retropubic prostatectomy: bladder neck preservation versus reconstruction. J Urol. 2000;163:194–8.

    PubMed  CAS  Google Scholar 

  47. Strougi M, Nesrallah LJ, Kauffman JR, et al. Urinary continence and pathological outcome after bladder neck preservation during radical retropubic prostatectomy: a randomized prospective trial. J Urol. 2001;165:815–8.

    Google Scholar 

  48. Klein EA. Early continence after radical prostatectomy. J Urol. 1992;148:92–5.

    PubMed  CAS  Google Scholar 

  49. Licht MR, Klein EA, Tuason L, et al. Impact of bladder neck preservation during radical prostatectomy on continence and cancer control. Urology. 1994;44:883–7.

    PubMed  CAS  Google Scholar 

  50. John H, Hauri D. Seminal vesicle-sparing radical prostatectomy: a novel concept to restore early urinary continence. Urology. 2000;55:820–4.

    PubMed  CAS  Google Scholar 

  51. Rocco F, Carmignani L, Acquati P, et al. Restoration of posterior aspect of rhabdosphincter shortens continence time after radical retropubic prostatectomy. J Urol. 2006;175:2201–6.

    PubMed  CAS  Google Scholar 

  52. Rocco B, Gregori A, Stener S, et al. Posterior reconstruction of the rhabdopshincter allows a rapid recovery of continence after transperitoneal videolaparoscopic radical prostatectomy. Eur Urol. 2007;51:996–1003.

    PubMed  Google Scholar 

  53. Eastham JA, Kattan MW, Rogers E, et al. Risk factors for urinary incontinence after radical prostatecomy. J Urol. 1996;156:1707–13.

    PubMed  CAS  Google Scholar 

  54. Joseph AC. Noninvasive therapies for treating post-prostatectomy urinary incontinence. Urol Nurs. 2006;26(4):271–5.

    PubMed  Google Scholar 

  55. Walker C, Mason D, Joseph A, Juma S. Does the leak point pressure predict the severity of urinary incontinence in the male patients? J Urol. 1995;153:277A.

    Google Scholar 

  56. Badlani G, Davilla GW, Midel MC, Rossette JJMCH ed. Continence: Current Concepts and Treatment Strategies. Springer-Verlag, New York, 2008.

    Google Scholar 

  57. Foley FEB. An artificial sphincter: a new device and operation for control of enuresis and urinary incontinence. J Urol. 1947;58:250–9.

    PubMed  CAS  Google Scholar 

  58. Berry JL. Postprostatectomy urinary incontinence and some experiences with the Berry procedure. Surg Clin North Am. 1965;45:1481–94.

    PubMed  CAS  Google Scholar 

  59. Comiter CV. The male perineal sling: intermediate-term results. Neurourol Urodyn. 2005;24:648–53.

    PubMed  Google Scholar 

  60. Kaufman JJ. Surgical treatment of post-prostatectomy incontinence: use of the penile crura to compress the bulbous urethra. J Urol. 1972;107:293–7.

    PubMed  CAS  Google Scholar 

  61. Kaufman JJ. Urethral compression operations for the treatment of post-prostatectomy incontinence. J Urol. 1973;110:93–6.

    PubMed  CAS  Google Scholar 

  62. Kaufman JJ, Raz S. Passive urethral compression with a silicone gel prosthesis for the treatment of male urinary incontinence. Mayo Clin Proc. 1976;51(6):373.

    PubMed  CAS  Google Scholar 

  63. Cooney CJ, Horton GR. An operation for the cure of urinary incontinence in the male. J Urol. 1951;66(4): 586–92.

    PubMed  CAS  Google Scholar 

  64. Uhle CA. Use of anteropubic fascial sling for treatment of surgical incontinence in the male. J Urol. 1957;77(3):478–84.

    PubMed  CAS  Google Scholar 

  65. Pettersson S. Free fascial sling to correct urinary incontinence after prostatic surgery: results of eight operated patients. Scand J Urol Nephrol. 1975;9(1): 24–7.

    PubMed  CAS  Google Scholar 

  66. Schaeffer AJ, Clemens JQ, Ferrari M, et al. The male bulbourethral sling procedure for post-radical prostatectomy incontinence. J Urol. 1998;159: 1510–5.

    PubMed  CAS  Google Scholar 

  67. Scott FB, Bradley WE, Timm GW. Treatment of urinary incontinence by an implantable prosthetic urinary sphincter. J Urol. 1974;112:75.

    PubMed  CAS  Google Scholar 

  68. Rosen M. A simple artificial implantable sphincter. Br J Urol. 1976;48(7):675–80.

    PubMed  CAS  Google Scholar 

  69. Rosen M. The Rosen inflatable incontinence prosthesis. Urol Clin North Am. 1978;5(2):405–14.

    PubMed  CAS  Google Scholar 

  70. Brown JA, Elliott DS, Barrett DM. Postprostatectomy urinary incontinence: a comparison of the cost of conservative versus surgical management. Urology. 1998;51(5):715–20.

    PubMed  CAS  Google Scholar 

  71. Hunter KF, Moore KN, Cody JD, Glazener CM. Conservative management for postprostatectomy urinary incontinence. Cochrane Database Syst Rev. 2005;3.

    Google Scholar 

  72. Van Kampen M, De Weerdt W, Van Poppel H, De Ridder D, Feys H, Baert L. Effect of pelvic-floor re-education on duration and degree of incontinence after radical prostatectomy: a randomized controlled trial. Lancet. 2000;355:98–102.

    PubMed  Google Scholar 

  73. Meaglia JP, Joseph AC, Chang M, Schmidt J. Postprostatectomy urinary incontinence: response to behavioral training. J Urol. 1990;144:674–6.

    PubMed  CAS  Google Scholar 

  74. Burgio K, Stutzman R, Engel B. Behavioral training for postprostatectomy urinary incontinence. J Urol. 1989;141:303–6.

    PubMed  CAS  Google Scholar 

  75. Hunter KF, Glazener CM, Moore KN. Conservative management for postprostatectomy urinary incontinence. Cochrane Database Syst Rev. 2007;18(2):CD001843.

    Google Scholar 

  76. Filocamo MT, Li Marzi V, Del Popolo G, et al. Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy incontinence. Eur Urol. 2005;48:734–8.

    PubMed  Google Scholar 

  77. Shepherd A, Montgomery E. Treatment of genuine stress incontinence with a new perinometer. Physiotherapy. 1983;69:113.

    PubMed  CAS  Google Scholar 

  78. Hunter KF, Moore KN, Cody JD, Glazener CM. Conservative management for post-prostatectomy urinary incontinence. Cochrane Database Syst Rev. 2004;CD001843.

    Google Scholar 

  79. Hay-Smith J, Herbison P, Morkved S. Physical therapies for prevention of urinary and faecal incontinece in adults. Cochrane Database Syst Rev. 2002;CD003191.

    Google Scholar 

  80. Moore KN, Cody DJ, Glazener CM. Conservative management of postprostatectomy incontinence. Cochrane Database Syst Rev. 2000;CD001843.

    Google Scholar 

  81. MacDonald R, Fink HA, Huckabay C, Monga M, Wilt TJ. Pelvic floor muscle training to improve urinary incontinence after radical prostatectomy: a systematic review of effectiveness. BJU Int. 2008;100:76–81.

    Google Scholar 

  82. Bales GT, Gerber GS, Minor TX, et al. Effect of preoperative biofeedback/pelvic floor training on continence in men undergoing radical prostatectomy. Urology. 2000;56:627–30.

    PubMed  CAS  Google Scholar 

  83. Foote J, Yun S, Leach G. Postprostatectomy incontinence: pathophysiology, evaluation and management. Urol Clin North Am. 1991;18:229–40.

    PubMed  CAS  Google Scholar 

  84. Aboseif SR, O’Connell HE, Usui A, et al. Collagen injection for intrinisic sphincteric deficiency in men. J Urol. 1996;155:10–3.

    PubMed  CAS  Google Scholar 

  85. Chao R, Mayo M. Incontinence after radical prostatectomy: detrusor or sphincter causes. J Urol. 1995;154:16–8.

    PubMed  CAS  Google Scholar 

  86. Mitropoulos D, Papdoukakis S, Zervas A, Alamanis C, Giannopoulos A. Efficacy of tolterodine in preventing urge incontinence immediately after prostatectomy. Int Urol Nephrol. 2006;38(2):263–8.

    PubMed  CAS  Google Scholar 

  87. Boy S, Reitz A, Wirth B, et al. Facilitatory neuromodulative effect of duloxetine on pudendal motor neurons controlling the urethral pressure: a functional urodynamic study in healthy women. Eur Urol. 2006;50:119–25.

    PubMed  CAS  Google Scholar 

  88. Zahariou A, Papaioannou P, Kalogirou G. Is HCl duloxetine effective in the management of urinary stress incontinence after radical prostatecomy? Urol Int. 2006;77:9–12.

    PubMed  CAS  Google Scholar 

  89. Schlenker B, Gratzke C, Reich O, Schorsch I, Seitz M, Stief CG. Preliminary results on the off-label use of duloxetine for the treatment of stress incontinence after radical prostatectomy or cystectomy. Eur Urol. 2006;49:1075–8.

    PubMed  CAS  Google Scholar 

  90. Gacci M, Ierardi A, Rose AD, Tazzioli S, Scapaticci E, Filippi S, et al. Vardenafil can improve continence recovery after bilateral nerve sparing prostatectomy: results of a randomized, double blind, placebo-controlled pilot study. J Sex Med. 2010;7(1 Pt 1): 234–43.

    PubMed  CAS  Google Scholar 

  91. Onur R, Rajpurkar A, Singla A. New perineal bone-anchored male sling: lessons learned. Urology. 2004;64:58–61.

    PubMed  Google Scholar 

  92. Guimaraes M, Oliveira R, Pinto R, Soares A, Maia E, Botelho F, et al. Intermediate-term results, up to 4 years, of a bone-anchored male perineal sling for treating male stress urinary incontinence after prostate surgery. BJU Int. 2009;103(4):500–4.

    PubMed  Google Scholar 

  93. Kumar A, Litt ER, Ballert KN, Nitti VW. Artificial urinary sphincter versus male sling for post-prostatectomy incontinence—what do patients choose? J Urol. 2009;181(3):1231–5.

    PubMed  Google Scholar 

  94. Wadie BS. A novel technique of bulbourethral sling for post-prostatectomy incontinence. Scand J Urol Nephrol. 2007;41:398–402.

    PubMed  Google Scholar 

  95. Stern JA, Clemens JQ, Tiplitsky SI, et al. Long-term results of the bulbourethral sling procedure. J Urol. 2005;173:1654–6.

    PubMed  Google Scholar 

  96. Madjar S, Jacoby K, Giberti C, Wald M, Halachmi S, Issaq E, et al. Bone anchored sling for the treatment of post-prostatectomy incontinence. J Urol. 2001;165:72–6.

    PubMed  CAS  Google Scholar 

  97. Rios LA, Tonin RT, Panhoca R, De Souza OE, Filho LL, Mattos Jr D. Male perineal sling with autologous aponeurosis and bone fixation—description of a technical modification. Int Braz J Urol. 2003;29(6): 524–7.

    PubMed  Google Scholar 

  98. Fassi-Fehri H, Badet L, Cherass A, Murat FJ, Colombel M, Martin X, et al. Efficacy of the InVance male sling in men with stress urinary incontinence. Eur Urol. 2007;51(2):498–503.

    PubMed  Google Scholar 

  99. Castle EP, Andrews PE, Itano N, Novicki DE, Swanson SK, Ferrigni RG. The mal sling for post-prostatectomy incontinence: mean followup of 18 months. J Urol. 2005;173(5):1657–60.

    PubMed  Google Scholar 

  100. Rajpurkar AD, Onur R, Singla A. Patient satisfaction and clinical efficacy of the new perineal bone-anchored male sling. Eur Urol. 2005;47:237–42.

    PubMed  Google Scholar 

  101. Davies TO, Bepple JL, McCammon KA. Urodynamic changes and initial results of the AdVance male sling. Urology. 2009;74(2):354–7.

    PubMed  Google Scholar 

  102. Sousa-Escandon A, Rodriguez Gomez JI, Uribarri Gonzalez C, et al. Externally readjustable sling for treatment of male stress urinary incontinence: points of technique and preliminary results. J Endourol. 2004;18:113–8.

    PubMed  Google Scholar 

  103. Moreno Sierra J, Victor Romano S, Galante Romo I, et al. New male sling “Argus” for the treatment of stress urinary incontinence. Arch Esp Urol. 2006;59:607–13.

    PubMed  Google Scholar 

  104. Romano SV, Metrebian SE, Vaz F, et al. An adjustable male sling for treating urinary incontinence after prostatectomy: a phase 3 multicentre trial. BJU Int. 2006;97:533–9.

    PubMed  Google Scholar 

  105. Rehder P, Gozzi C. Transobturator sling suspension for male urinary incontinence including post-radical prostatectomy. Eur Urol. 2007;52:860–7.

    PubMed  Google Scholar 

  106. Cornu JN, Sebe P, Ciofu C, Peyrat L, Beley S, Tligui M, et al. The AdVance transobturator male sling for postprostatectomy incontinence: clinical results of a prospective evaluation after a minimum follow-up of 6 months. Eur Urol. 2009;56:923–7.

    PubMed  Google Scholar 

  107. Montague DK. Male slings: compressive versus repositioning. Eur Urol. 2009;56:934–6.

    PubMed  Google Scholar 

  108. Cornel EB, Elzevier HW, Putter H. Can AdVance transobturator sling suspension cure male urinary postoperative stress incontinence? J Urol. 2010;183:1459–63.

    PubMed  Google Scholar 

  109. Gill BC, Swarz MA, Klein JB, Rackley RR, Monague DK, Vasavada SP, et al. Patient perceived effectiveness of a new male sling as treatment for post-prostatectomy incontinence. J Urol. 2010;183:247–52.

    PubMed  Google Scholar 

  110. Bauer RM, Mayer ME, May F, Gratzke C, Buchner A, Soljanik I, et al. Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. Urology. 2010;75(6): 1494–8.

    PubMed  Google Scholar 

  111. Jones JS, Vasavada SP, Abdelmalak JB, et al. Sling may hasten return of continence after radical prostatectomy. Urology. 2005;65:1163–7.

    PubMed  Google Scholar 

  112. Dikranian AH, Chang JH, Rhee EY, et al. The male perineal sling: comparison of sling materials. J Urol. 2004;172:608–10.

    PubMed  CAS  Google Scholar 

  113. Montague DK, Angermeier KW. Treatment of postprostatectomy urinary incontinence: the case against the male sling. Nat Clin Pract Urol. 2006;3(6): 290–1.

    PubMed  Google Scholar 

  114. Giberti C, Gallo F, Schenone M, et al. The bone-anchor sub-urethral sling for the treatment of iatrogenic male incontinence: subjective and objective assessment after 41 months of mean follow-up. World J Urol. 2008;26:173–8.

    PubMed  Google Scholar 

  115. Fischer MC, Huckabay C, Nitti VW. The male perineal sling: assessment and prediction of outcome. J Urol. 2007;177:1414–8.

    PubMed  Google Scholar 

  116. Samli M, Singla A, Aggarwal N. Artificial urinary sphincter versus bone anchored male sling for post-radical prostatectomy urinary incontinence. Eur Urol. 2005;4:143.

    Google Scholar 

  117. Elliott DS, Barrett DM. Mayo Clinic long-term analysis of the functional durability of the AMS800 artificial urinary sphincter: a review of 323 cases. J Urol. 1998;159:1206–8.

    PubMed  CAS  Google Scholar 

  118. Lai HH, Hsu EI, Boone TB. Urodynamic testing in evaluation of postradical prostatectomy incontinence before artificial urinary sphincter implantation. Urology. 2009;73(6):1264–9.

    PubMed  Google Scholar 

  119. Barrett DM, Furlow WL. Incontinence, intermittent self-catheterization and the artificial genitourinary sphincter. J Urol. 1984;132:268.

    PubMed  CAS  Google Scholar 

  120. Wilson SK, Delk JR, Henry GD, Siegel AL. New surgical technique for sphincter urinary control system using upper transverse scrotal incision. J Urol. 2003;169:261–4.

    PubMed  Google Scholar 

  121. O’Connor RC, Lyon MB, Guralnick ML, Bales GT. Long-term follow-up of single versus double cuff artificial urinary sphincter insertion for the treatment of severe postprostatectomy stress urinary incontinence. Urology. 2008;71(1):90–3.

    PubMed  Google Scholar 

  122. Knight SL, Susser J, Greenwell T, Mundy AR, Craggs MD. A new artificial urinary sphincter with conditional occlusion for stress urinary incontinence: preliminary clinical results. Eur Urol. 2006;50:574–80.

    PubMed  Google Scholar 

  123. Klijn AJ, Hop WC, Mickisch G, et al. The artificial urinary sphincter in men incontinent after radical prostatectomy: 5 year actuarial adequate function rates. Br J Urol. 1998;82:530–3.

    PubMed  CAS  Google Scholar 

  124. Montague DK, Angermeier KW, Paolone DR. Long-term continence and patient satisfaction after artificial sphincter implantation for urinary incontinence after prostatectomy. J Urol. 2001;166:547–9.

    PubMed  CAS  Google Scholar 

  125. Kim SP, Sarmast Z, Daignault S, Faerber GJ, McGuire EJ, Latini JM. Long-term durability and functional outcomes among patients with artificial urinary sphincters: a 10-year retrospective review from the University of Michigan. J Urol. 2008;179:1912–6.

    PubMed  Google Scholar 

  126. Fleshner N, Herschorn S. The artificial urinary sphincter for post-radical prostatectomy incontinence: impact on urinary symptoms and quality of life. J Urol. 1996;155:1260–4.

    PubMed  CAS  Google Scholar 

  127. Goldwasser B, Furlow WL, Barrett DM. The model AS 800 artificial urinary sphincter: Mayo clinic experience. J Urol. 1987;137:668–71.

    PubMed  CAS  Google Scholar 

  128. Marks JL, Light JK. Management of urinary incontinence after prostatectomy with the artificial urinary sphincter. J Urol. 1989;142(2 Pt 1):302–4.

    PubMed  CAS  Google Scholar 

  129. Petero VG, Diokno AC. Comparison of the long-term outcomes between incontinent men and women treated wtih artificial urinary sphincter. J Urol. 2006;175:605–9.

    PubMed  Google Scholar 

  130. Trigo Rocha F, Gomes CM, Mitre AI, Arap S, Srougi M. A prospective study evaluating the efficacy of the artificial sphincter AMS 800 for the treatment of postradical prostatectomy urinary incontinence and the correlation between preoperative urodynamic and surgical outcomes. Urology. 2008;71(1):85–9.

    PubMed  Google Scholar 

  131. Haab F, Trockman BA, Zimmern PE, et al. Quality of life and continence assessment of the artificial urinary sphincter in men with minimum 3.5 years of followup. J Urol. 1997;158:435–9.

    PubMed  CAS  Google Scholar 

  132. Litwiller SE, Kim KB, Fone PD, et al. Post-prostatectomy incontinence and the artificial urinary sphincter: a long-term study of patient satisfaction and criteria for success. J Urol. 1996;156:1975–80.

    PubMed  CAS  Google Scholar 

  133. Tse V, Stone AR. The artificial urinary sphincter. BJU Int. 2003;92:886–9.

    PubMed  CAS  Google Scholar 

  134. Fulford SC, Sutton C, Bales G, et al. The fate of the “modern” artificial urinary sphincter wtih a follow-up of more than 10 years. Br J Urol. 1997;79: 713–6.

    PubMed  CAS  Google Scholar 

  135. Venn SN, Greenwell TJ, Mundy AR. The long-term outcome of artificial urinary sphincters. J Urol. 2000;164:702–6.

    PubMed  CAS  Google Scholar 

  136. DiMarco DS, Elliott DS. Tandem cuff artificial urinary sphincter as a salvage procedure following failed primary sphincter placement for the treatment of post-prostatectomy incontinence. J Urol. 2003;170(4 Pt 1):1252–4.

    PubMed  Google Scholar 

  137. Martins FE, Bennet CJ, Dunn M, et al. Adverse prognostic features of collagen injection therapy for urinary incontinence following radical retropubic prostatectomy. J Urol. 1997;158:1745–9.

    PubMed  CAS  Google Scholar 

  138. Aaronson DS, Elliott SP, McAninch JW. Transcorporal artificial urinary sphincter placement for incontinence in high-risk patients after treatment of prostate cancer. Urology. 2008;72(4):825–7.

    PubMed  Google Scholar 

  139. Garcia-Montes F. FlowSecure artificial urinary sphincter for teh treatment of stress urinary incontinence after radical prostatectomy. Arch Esp Urol. 2009;62(10):845–50.

    PubMed  Google Scholar 

  140. Colombo T, Augustin H, Breinl E, Schips L, Hubmer G. The use of polydimethylsiloxane in the treatment of incontinence after radical prostatectomy. Br J Urol. 1997;80(6):923–6.

    PubMed  CAS  Google Scholar 

  141. Tiguert R, Gheiler EL, Gudziak MR. Collagen injection in the management of post-radical prostatectomy intrinsic sphincter deficiency. Neurourol Urodyn. 1999;18:653–8.

    PubMed  CAS  Google Scholar 

  142. Berg S. Polytef augmentation urethroplasty. Correction of surgically incurable urinary incontinence by injection technique. J Urol. 1973;107: 379–81.

    CAS  Google Scholar 

  143. Politano VA, Small MP, Harper JM, Lynne CM. Periurethral Teflon injection for urinary incontinence. J Urol. 1974;111:180–3.

    PubMed  CAS  Google Scholar 

  144. Malizia Jr AA, Reiman HM, Myers RP, Sande JR, Barham SS, Benson Jr RC, et al. Migration and granulomatous reaction after periurethral injection of Polytef (Teflon). JAMA. 1984;251:3277–81.

    PubMed  Google Scholar 

  145. Kiiholma PJ, Chancellor MB, Makinen J, et al. Complications of Teflon injection for stress urinary incontinence. Neurourol Urodyn. 1993;12:131–7.

    Google Scholar 

  146. Smith DN, Appell RA, Rackley RR, et al. Collagen injection therapy for post-prostatectomy incontinence. J Urol. 1998;160:364–7.

    PubMed  CAS  Google Scholar 

  147. Chancellor MB, Yokoyama T, Tirney S, Mattes CE, Ozawa H, Yoshimura N, et al. Preliminary results of myoblast injection into the urethra and bladder wall. Neurourol Urodyn. 2000;19:279–87.

    PubMed  CAS  Google Scholar 

  148. Chancellor MB, Yoshimura N, Pruchnic R, Huard J. Gene therapy strategies for urological dysfunction. Trends Mol Med. 2001;7(7):301–6.

    PubMed  CAS  Google Scholar 

  149. Faerber GJ, Richardson TD. Long-term results of transurethral collagen injection in men with intrinsic sphincter deficiency. J Endourol. 1997;11:273–7.

    PubMed  CAS  Google Scholar 

  150. Sanchez-Ortiz RF, Broderick GA, Chaikin DC, et al. Collagen injection therapy for post-radical retropubic prostatectomy incontinence: role of valsalva leak point pressure. J Urol. 1997;158:2132–6.

    PubMed  CAS  Google Scholar 

  151. Westney OL, Bevan-Thomas R, Palmer JL, Cespedes RD, McGuire EJ. Transurethral collagen injections for male intrinsic sphincter deficiency: the University of Texas-Houston experience. J Urol. 2005;174(3): 994–7.

    PubMed  Google Scholar 

  152. Santarosa RP, Blaivas JG. Periurethral injection of autologous fat for the treatment of sphincteric incontinence. J Urol. 1994;151(3):607–11.

    PubMed  CAS  Google Scholar 

  153. Bugel H, Pfister C, Sibert L, Cappele O, Khalaf A, Grise P. Intraurethral macroplastic injections in the treatment of urinary incontinence after prostatic surgery. Prog Urol. 1999;9(6):1068–76.

    PubMed  CAS  Google Scholar 

  154. Kylmala T, Tainio H, Raitanen M, et al. Treatment of postoperative male urinary incontinence using transurethral macroplastique injections. J Endourol. 2003;17:113–5.

    PubMed  Google Scholar 

  155. Imamoglu MA, Tuygun C, Bakirtas H, Yigitbasi O, Kiper A. The comparison of artificial urinary sphincter implantation and endourethral macroplastique injection for the treatment of postprostatectomy incontinence. Eur Urol. 2005;47(2):209–13.

    PubMed  Google Scholar 

  156. Wainstein MA, Klutke CG. Antegrade techniques of collagen injection for post-prostatectomy stress urinary incontinence: the Washington University experience. World J Urol. 1997;15(5):310–5.

    PubMed  CAS  Google Scholar 

  157. Loughlin KR, Comiter CV. New technique for antegrade collagen injection for post-radical prostatectomy stress urinary incontinence. Urology. 1999;53(2):410–1.

    PubMed  CAS  Google Scholar 

  158. Klutke CG, Nadler RB, Tiemann D, Andriole GL. Early results with antegrade collagen injection for post-radical prostatectomy stress urinary incontinence. J Urol. 1996;156(5):1703–6.

    PubMed  CAS  Google Scholar 

  159. Schneider T, Sperling H, Rossi R, Schmidt S, Rubben H. Do early injections of bulking agents following radical prostatectomy improve early continence? World J Urol. 2005;23(5):338–42.

    PubMed  CAS  Google Scholar 

  160. Gregori A, Simonato A, Lissiani A, Scieri F, Rossi R, Gaboardi F. Transrectal ultrasound-guided implantation of the proact adjustable continence therapy system in patients wtih post-radical prostatectomy stress urinary incontinence: a pilot study. J Urol. 2006;176:2109–13.

    PubMed  Google Scholar 

  161. Gilling PJ, Bell DF, Wilson LC, Westenberg AM, Reuther R, Fraundorfer MR. An adjustable continence therapy device for treating incontinence after prostatectomy: a minimum 2-year follow-up. BJU Int. 2008;102:1426–31.

    PubMed  Google Scholar 

  162. Hubner WA, Schlarp OM. Treatment of incontinence after prostatectomy using a new minimally invasive device: adjustable continence therapy. BJU Int. 2005;96(4):587–94.

    PubMed  Google Scholar 

  163. Hubner WA, Schlarp OM. Adjustable continence therapy (ProACT): evolution of the surgical technique and comparison of the original 50 patients with the most recent 50 patients at a single centre. Eur Urol. 2007;52(3):680–6.

    PubMed  Google Scholar 

  164. Yao QS, Ye ZQ, Chen CB, Wang XK, Wang WM, Chen LX. Feasibility of muscle-derived cell autotransplantation as a treatment for post-prostatectomy urinary incontinence. Zhonghua Nan Ke Xue. 2005;11(4):272–4.

    PubMed  Google Scholar 

  165. Burdzinska A, Bartoszuk-Bruzzone U, Godlewski MM, Orzechowski A. Sodium ascorbate and basic fibroblast growth factor protect muscle-derived cells from H2O2-induced oxidative stress. Comp Med. 2006;56(6):493–501.

    PubMed  CAS  Google Scholar 

  166. Yokoyama T, Yoshimura N, Dhir R, et al. Persistence and survival of autologous muscle derived cells versus bovine collagen as potential treatment of stress urinary incontinence. J Urol. 2001;165:271–6.

    PubMed  CAS  Google Scholar 

  167. Burdzinska A, Bartoszuk U, Orzechowski A. Preincubation with bFGF but not sodium ascorbate improves efficiency of autologous transplantation of muscle-derived cells into urethral wall. Urology. 2009;73(4):736–42.

    PubMed  Google Scholar 

  168. Mitterberger M, Marksteiner R, Margreiter E, Pinggera GM, Frauscher F, Ulmer H, et al. Myoblast and fibroblast therapy for post-prostatectomy urinary incontinence: 1-year followup of 63 patients. J Urol. 2008;179(1):226–31.

    PubMed  Google Scholar 

  169. Kerns JM, Shott S, Brubaker L, Sakamoto K, Benson JT, Fleischer AE, et al. Effects of IGF-I gene therapy on the injured rat pudendal nerve. Int Urogynecol J. 2003;14:2–8.

    CAS  Google Scholar 

  170. Cespedes RD, Jacoby K. Male slings for postprostatectomy incontinence. Tech Urol. 2001;7:176–83.

    PubMed  CAS  Google Scholar 

  171. Bauer RM, Mayer ME, Gratzke C, Soljanik I, Buchner A, Bastian PJ, et al. Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year. Eur Urol. 2009;56:928–33.

    PubMed  Google Scholar 

  172. Trigo-Rocha F, Gomes CM, Pompeo AC, Lucon AM, Arap S. Prospective study evaluating efficacy and safety of adjustable continence therapy (ProACT) for post radical prostatectomy urinary incontinence. Urology. 2006;67(5):965–9.

    PubMed  Google Scholar 

  173. Gregori A, Romano AL, Scieri F, Pietrantuono F, Incarbone GP, Salvaggio A, et al. Transrectal ultrasound-guided implantation of Adjustable Continence Therapy (ProACT): surgical technique and clinical results after a mean follow-up of 2 years. Eur Urol. 2010;57(3):430–6.

    PubMed  Google Scholar 

  174. Kocjancic E, Crivellaro S, Ranzoni S, Bonvini D, Gontero P, Frea B. Adjustable Continence Therapy for the treatment of male stress urinary incontinence: a single-centre study. Scand J Urol Nephrol. 2007;41(4):324–8.

    PubMed  Google Scholar 

  175. Lebret T, Cour F, Benchetrit J, Grise P, Berstein J, Delaporte V, et al. Treatment of postprostatectomy stress urinary incontinence using a minimally ­invasive adjustable continence balloon device, ProACT: results of a preliminary multicenter, pilot study. Urology. 2008;71(2):256–60.

    PubMed  Google Scholar 

  176. Perez LM, Webster GD. Successful outcome of artificial urinary sphincters in men with post-prostatectomy urinary incontinence despite adverse implantation features. J Urol. 1992;148(4):1166–70.

    PubMed  CAS  Google Scholar 

  177. Mottet N, Boyer C, Chartier-Kastler E, Ben Naoum K, Richard F, Costa P. Artificial urinary sphincter AMS 800 for urinary incontinence after radical prostatectomy: the French experience. Urol Int. 1998;60 Suppl 2:25–9.

    PubMed  Google Scholar 

  178. Gousse AE, Madjar S, Lambert MM, Fishman IJ. Artificial urinary sphincter for post-prostatectomy urinary incontinence: long term subjective results. J Urol. 2001;166(5):1755–8.

    PubMed  CAS  Google Scholar 

  179. Lai HH, Hsu EI, Teh BS, Butler EB, Boone TB. 13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine. J Urol. 2007;177(3):1021–5.

    PubMed  Google Scholar 

  180. Gundian JC, Barrett DM, Parulkar BG. Mayo Clinic experience with use of the AMS800 artificial urinary sphincter for urinary incontinence following radical prostatectomy. J Urol. 1989;142(6):1459–61.

    PubMed  CAS  Google Scholar 

  181. Griebling TL, Kreder KJ, Williams RD. Transurethral collagen injection for treatment of postprostatectomy urinary incontinence in men. Urology. 1997;49(6):907–12.

    PubMed  CAS  Google Scholar 

  182. McGuire EJ, Appell RA. Transurethral collagen injection for urinary incontinence. Urology. 1994;43(4):413–5.

    PubMed  CAS  Google Scholar 

  183. Appell RA, Vasavada SP, Rackley RR, Winters JC. Percutaneous antegrade collagen injection therapy for urinary incontinence following radical prostatectomy. Urology. 1996;48(5):769–72.

    PubMed  CAS  Google Scholar 

  184. Elsergany R, Ghoniem GM. Collagen injection for intrinsic sphincteric deficiency in men: a reasonable option in selected patients. J Urol. 1998;159(5): 1504–6.

    PubMed  CAS  Google Scholar 

  185. Gottfried HW, Maier S, Brandle E, et al. Transurethrale Kollageninjektion zur Behandlung der Stressharninkontinenz. Urologe A. 1997;36:413–9.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, 44195, USA

    Christina Ching

  2. Center for Genitourinary Reconstruction, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    Drogo K. Montague

Authors
  1. Christina Ching
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Drogo K. Montague
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Drogo K. Montague .

Editor information

Editors and Affiliations

  1. , Glickman Urological and Kidney, Cleveland Clinic, 9500 Euclid Ave, Cleveland, 44195, Ohio, USA

    Eric A. Klein

  2. Cleveland Clinic, Cleveland Clinic Lerner College of Medic, Department of Regional Urology, at Case Western Reserve, Cleveland, 44195, Ohio, USA

    J. Stephen Jones

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Ching, C., Montague, D.K. (2012). Treatment Modalities of Post-prostatectomy Incontinence: A Historical Perspective as Well as Current Therapy Options. In: Klein, E., Jones, J. (eds) Management of Prostate Cancer. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-259-9_20

Download citation

  • DOI: https://doi.org/10.1007/978-1-60761-259-9_20

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60761-258-2

  • Online ISBN: 978-1-60761-259-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation