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Guiding Clinical Decision Making for Surgical Incontinence Treatment After Prostatectomy: A Review of the Literature.
Davuluri, Meenakshi; DeMeo, Gina; Penukonda, Suhas; Zahid, Basimah; Hu, Jim C.
Afiliación
  • Davuluri M; Department of Urology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA. Med9115@med.cornell.edu.
  • DeMeo G; Department of Urology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.
  • Penukonda S; College of Osteopathic Medicine, Touro University, New York, NY, USA.
  • Zahid B; School of Medicine, Tufts University, Boston, MA, USA.
  • Hu JC; City University of New York, Brooklyn College, Brooklyn, NY, USA.
Curr Urol Rep ; 24(11): 527-532, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37768551
ABSTRACT
PURPOSE OF REVIEW Stress urinary incontinence after prostatectomy is a common and debilitating side effect. Immediate post-prostatectomy management emphasizes pelvic floor muscle exercises. Per American Urologic Association guidelines, if incontinence persists for more than 12 months postoperatively, surgical interventions are the mainstay of treatment. Treatment decisions depend on a multitude of factors. The goal of this paper is to review recent literature updates regarding the diagnosis of male SUI to better guide surgical treatment decision-making. RECENT

FINDINGS:

Patient history is a critical component in guiding surgical decision making with severity and bother being primary factors driving treatment decisions. Recent studies indicate that a history of pelvic radiation continues to impact the overall duration and complication rate associated with artificial urinary sphincters (AUS). Cystoscopy should be done on every patient preparing to undergo surgical SUI treatment. Urodynamics and standing cough stress tests are additional diagnostic testing options; these tests may augment the diagnosis of SUI and better delineate which patients may benefit from a male sling versus AUS. Treatment of SUI after prostatectomy can improve health-related quality of life. A patient history focused on severity and degree of bother in addition to the use of ancillary office testing can help guide surgical treatment decisions to optimize patient continence goals.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Incontinencia Urinaria de Esfuerzo / Esfínter Urinario Artificial / Cabestrillo Suburetral Tipo de estudio: Guideline / Prognostic_studies Límite: Humans / Male Idioma: En Revista: Curr Urol Rep Asunto de la revista: UROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Incontinencia Urinaria de Esfuerzo / Esfínter Urinario Artificial / Cabestrillo Suburetral Tipo de estudio: Guideline / Prognostic_studies Límite: Humans / Male Idioma: En Revista: Curr Urol Rep Asunto de la revista: UROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos