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Conservative management of post-radical prostatectomy incontinence.

TitleConservative management of post-radical prostatectomy incontinence.
Publication TypeJournal Article
Year of Publication2013
AuthorsSountoulides, P., Vakalopoulos I., Kikidakis D., & Charalampous S.
JournalArch Esp Urol
Volume66
Issue8
Pagination763-75
Date Published2013 Oct
ISSN1576-8260
KeywordsExercise Therapy, Humans, Pelvic Floor, Prostatectomy, Urinary Incontinence
Abstract

Radical prostatectomy is currently the mainstay of treatment for localized prostate cancer. Although there is evidence that the evolution in surgical technique with the introduction of laparoscopic and robot-assisted radical prostatectomy has resulted in an improvement of functional outcomes, a significant percentage of patients are still bothered by post-prostatectomy incontinence. However, the majority of patients will find improvement in their continence status from conservative measures and a small cohort will require more invasive therapeutic options. Conservative treatment includes pelvic floor muscle training with or without biofeedback techniques and pharmacotherapy. There is evidence that immediate initiation of physiotherapy after surgery will help in early restoration of continence, while additional benefit can be provided from pharmacotherapy mainly from duloxetine. The present review aims to provide an update on the epidemiology of post-prostatectomy incontinence, identify risk factors for incontinence after surgery and suggest current trends for conservative treatment.

Alternate JournalArch Esp Urol
PubMed ID24136479

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