PURPOSE OF REVIEW: To highlight the recent developments in the past 12 months in the field of postprostatectomy incontinence.
RECENT FINDINGS: The evaluation of postprostatectomy incontinence is mainly based on clinical details and symptoms assessment. The situation in which urodynamics will change the management and influence clinical decision-making is still unknown. MRI may play a role in the future for postprostatectomy incontinence assessment. Artificial urinary sphincter is the most widely used treatment, and the literature is full of technical reports to improve the management of challenging cases and minimize the risk of complications. Advance male sling has been the subject of multiple reports that support its safety and efficacy. Many other innovative devices have been presented but not adequately tested.
SUMMARY: Evaluation of postprostatectomy incontinence is based on clinical data, involving symptoms assessment, quality of life, and incontinence severity. Endoscopy is requested, and urodynamic study indications are debated. The treatment is mainly focused on surgical options, of which artificial urinary sphincter and transobturator male slings are the two leaders. The field is critically lacking of comparative studies.
Written by:
Cornu JN, Melot C, Haab F. Are you the author?
Department of Urology, Tenon Hospital, Hôpitaux Universitaires Paris-EST, Assistance publique Hôpitaux de Paris, Université Pierre et Marie Curie Paris 6, Paris, France.
Reference: Curr Opin Urol. 2014 Nov;24(6):566-70.
doi: 10.1097/MOU.0000000000000112
PubMed Abstract
PMID: 25203242