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Bulking Agents for Urinary and Fecal Incontinence

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Book cover Complications of Surgery for Male Urinary and Fecal Incontinence

Part of the book series: Urodynamics, Neurourology and Pelvic Floor Dysfunctions ((UNPFD))

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Abstract

The incidence of SUI after radical prostatectomy has been reported to range from 8% to 47% [1–4], whereas the incidence of SUI after benign prostatic surgery has been reported to be 0.5% [5]. When conservative treatment fails, surgical treatment should be considered. AUS is considered the gold standard treatment for male SUI, with a success rate ranging from 59% to 90% and a patient satisfaction rate of 76% [6, 7]. However, the revision rate for AUS is relatively high (20% to 29%) owing to infection, urethral erosion, and mechanical failure [6, 7]. Compared with AUS, a male sling operation has several advantages, including the absence of mechanical problems, no need for device training, immediate efficacy, and an overall reduced revision rate. The success rate of a male sling operation ranges from 54% to 83% [8, 9]. However, urinary retention, erosion, infection, system dislocation, and persistent pain are possible complications of a male sling operation, whereas technical difficulty is another problem in patients who have undergone radical pelvic surgery [10].

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Acknowledgements

We thank Diego Coletta, Norma Depalma, and Ilaria Clementi for contributing to the realization of this chapter.

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Authors and Affiliations

  1. Urology Unit, Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Sapienza University of Rome, Latina, Italy

    Michele Pennisi & Antonio Luigi Pastore

  2. Colorectal and Pelvic Surgery Unit Emergency Department, “Sapienza” Rome University, Rome, Italy

    Filippo La Torre

Authors
  1. Michele Pennisi
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  2. Antonio Luigi Pastore
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  3. Filippo La Torre
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Corresponding author

Correspondence to Antonio Luigi Pastore .

Editor information

Editors and Affiliations

  1. Department of Urology, University of Verona, Borgo Trento Hospital, Verona, Italy

    Salvatore Siracusano

  2. Department of Surgery, University of Padova, Padova, Italy

    Giuseppe Dodi

  3. Urology Department, Ospedale Cannizzaro Urology Department, Catania, Italy

    Michele Pennisi

  4. Urology Department, San Raffaele Hospital, Milano, Italy

    Christian Gozzi

  5. Department of Medico-Surgical Science and Biotechnologies, Sapienza University of Rome, Latina, Italy

    Antonio Luigi Pastore

  6. Department of Urology, University of Verona, Borgo Trento Hospital, Verona, Italy

    Maria Angela Cerruto

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Pennisi, M., Pastore, A.L., La Torre, F. (2020). Bulking Agents for Urinary and Fecal Incontinence. In: Siracusano, S., Dodi, G., Pennisi, M., Gozzi, C., Pastore, A., Cerruto, M. (eds) Complications of Surgery for Male Urinary and Fecal Incontinence. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-319-98264-9_15

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  • DOI: https://doi.org/10.1007/978-3-319-98264-9_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98263-2

  • Online ISBN: 978-3-319-98264-9

  • eBook Packages: MedicineMedicine (R0)

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