PURPOSE: To perform an update on the conservative treatment of male non-neurologic urinary incontinence.
METHOD: A systematic review was conducted using PubMed/MEDLINE with the following keywords: "incontinence", "male stress urinary incontinence", "pelvic floor training", "biofeedback", "absorbant products", "life style", "penile clamp".
RESULTS: Palliative devices like penile clamps, penile sheaths and absorbent products were transitory options that were poorly evaluated. Life style modifications (scheduled voiding, controlled hydric absorption, decreased caffeine and spice intake) were useful in complement of other treatments especially in case of overactive bladder. Pelvic floor training (PFT) was useful after radical prostatectomy but remained optional for other types of incontinence. It accelerated the continence recovery postoperatively but it results at 1 year were uncertain. These results were maintained 1 year. Conservative treatments were useful postoperatively especially early supervised PFT. The benefit of biofeedback and perineal stimulation was controversial. Balder catheterization was a last resort option. Penile sheaths were better than urethral catheterization if there were no post-voiding residual urines.
CONCLUSIONS: Palliative options have a limited efficacy but are mini-invasive and might be helpful complementary options.
Written by:
Lebdai S, Delongchamps NB, Azzouzi AR, Benchikh A, Campeggi A, Cornu JN, Dumonceau O, Faix A, Fourmarier M, Haillot O, Lukacs B, Mathieu R, Misrai V, Robert G, de La Taille A, Descazeaud A. Are you the author?
Service d'urologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France; Service d'urologie, CHU Cochin, 75014 Paris, France; Service d'urologie, hôpital Bichat-Claude-Bernard, groupe des hôpitaux universitaires Paris-Nord-Val-de-Seine, université Denis-Diderot, Paris-VII, 75018 Paris, France; Service d'urologie, CHU Mondor, 75000 Paris, France; Service d'urologie, hôpital Tenon, université Paris-VI, 75020 Paris, France; Service d'urologie, clinique Turin, 75008 Paris, France; Clinique mutualiste Beausoleil, 34070 Montpellier, France; Service d'urologie, centre hospitalier Aix-en-Provence, 13616 Aix-en-Provence, France; Service d'urologie, CHU de Tours, 37044 Tours, France; Service d'urologie, hôpital Pontchaillou, CHU de Rennes, 35000 Rennes, France; Service d'urologie, clinique Pasteur, 31300 Toulouse, France; Service d'urologie, université Bordeaux Segalen, CHU de Bordeaux, 33076 Bordeaux, France; Service de chirurgie urologique, CHU de Limoges, 87042 Limoges, France.
Reference: Prog Urol. 2014 Sep;24(10):610-5.
doi: 10.1016/j.purol.2014.01.003
PubMed Abstract
PMID: 25214288
Article in French.