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Evaluation, Treatment and Management of Urinary Incontinence in Patients with Orthotopic Neobladder

  • Voiding Dysfunction Evaluation (C Gomez, Section Editor)
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Abstract

Patients who undergo radical cystectomy for bladder cancer require reconstruction of the lower urinary tract. Orthotopic neobladder in carefully selected patients offers a more physiologic way of voiding. However, daytime and nighttime incontinence are commonly seen in male and female patients following surgery. Evaluation of incontinence requires careful history and physical exam to differentiate stress urinary incontinence from neobladder-vaginal fistula or poorly compliant neobladder with hypercontinence. Treatment of incontinence in patients with ONB may include: placement of retropubic sling, artificial urinary sphincter, or repair of fistula when present.

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Conflicts of Interest

Ellen Goldmark and David Ginsberg declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Division of Urology, University of Southern California, Los Angeles, CA, USA

    Ellen Goldmark

  2. USC Norris Comprehensive Cancer Center and Hospital, Keck Hospital of USC, Los Angeles, CA, USA

    David Ginsberg

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  1. Ellen Goldmark
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  2. David Ginsberg
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Correspondence to Ellen Goldmark.

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Goldmark, E., Ginsberg, D. Evaluation, Treatment and Management of Urinary Incontinence in Patients with Orthotopic Neobladder. Curr Bladder Dysfunct Rep 9, 102–107 (2014). https://doi.org/10.1007/s11884-014-0236-9

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  • DOI: https://doi.org/10.1007/s11884-014-0236-9

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