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Conservative Management of Post-prostatectomy Incontinence

  • Michael Kennelly
  • Rachel Locke
Chapter

Abstract

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.

Keywords

Conservative management Incontinence Prostatectomy Pelvic floor muscle training Bulking agent 

Abbreviations

ES

Electrical stimulation

EXMI

Extracorporeal magnetic innervation

FDA

US Food and Drug Administration

GAX-Collagen

Glutaraldehyde cross-linked collagen

ICI

5th International Consultation on Incontinence

OAB

Overactive bladder

PDS

Polydimethylsiloxane

PFMT

Pelvic floor muscle therapy

PPI

Post-prostatectomy incontinences

RP

Radical prostatectomy

SUI

Stress urinary incontinence

UI

Urinary incontinence

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© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Carolinas Medical Center, Carolinas HealthCare SystemCharlotteUSA

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