Conservative Management of Post-prostatectomy Incontinence

  • Michael Kennelly
  • Rachel Locke


Conservative therapies for post-prostatectomy incontinence (PPI) are often the initial therapy offered to patients after radical prostatectomy. Lifestyle modifications have been shown to have some effect, while pelvic floor physiotherapy and electrical stimulation therapies can be helpful when paired together. Pharmacological agents have shown minimal effects on PPI, and more randomized controlled trials (RCTs) are necessary. Likewise, penile clamps have been demonstrated to provide some symptom relief when utilized properly. Although several bulking agents have shown good efficacy in treating female stress incontinence due to intrinsic sphincter deficiency, their use and efficacy in treating male post-prostatectomy incontinence are limited. In this chapter, we will explore the evidence and clinical relevance of nonsurgical treatments for PPI.


Conservative management Incontinence Prostatectomy Pelvic floor muscle training Bulking agent 



Electrical stimulation


Extracorporeal magnetic innervation


US Food and Drug Administration


Glutaraldehyde cross-linked collagen


5th International Consultation on Incontinence


Overactive bladder




Pelvic floor muscle therapy


Post-prostatectomy incontinences


Radical prostatectomy


Stress urinary incontinence


Urinary incontinence


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Carolinas Medical Center, Carolinas HealthCare SystemCharlotteUSA

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