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Conservative Management of Post-prostatectomy Incontinence

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Post-Prostatectomy Incontinence

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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.

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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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Authors and Affiliations

  1. Carolinas Medical Center, Carolinas HealthCare System, 1023 Edgehill Road South, Charlotte, NC, 28207, USA

    Michael Kennelly MD & Rachel Locke

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  1. Michael Kennelly MD
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Correspondence to Michael Kennelly MD .

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Editors and Affiliations

  1. Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Ajay Singla

  2. Department of Urology, Stanford University School of Medicine, Stanford, California, USA

    Craig Comiter

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Kennelly, M., Locke, R. (2017). Conservative Management of Post-prostatectomy Incontinence. In: Singla, A., Comiter, C. (eds) Post-Prostatectomy Incontinence. Springer, Cham. https://doi.org/10.1007/978-3-319-55829-5_4

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