Complications of Male Incontinence Procedures: Diagnosis, Evaluation, and Management

Part of the Current Clinical Urology book series (CCU)


Urinary incontinence (UI), the complaint of any involuntary leakage of urine, may be the result of congenital anomalies, injury, genitourinary surgery, and other conditions. The most common etiology of UI in men is radical prostatectomy (RP), with the primary mechanism being failure to store urine secondary to inadequate function of the outlet-sphincter. Despite improvements in surgical technique that have reduced the rate of post-prostatectomy UI, the burden of disease in the United States remains high and is expected to rise because of increasing numbers of RP performed annually. UI significantly compromises heath-related quality of life in men and can be improved by surgical treatment using transurethral bulking agents, bulbar urethral slings, and the artificial urinary sphincter. Although bulking agents have been used in the past as a first-line treatment for male UI, the severity of incontinence and postsurgical scarring in the vesicourethral region after prostatectomy have made surgical correction the first-line treatment for the majority of cases.


Urinary Incontinence Artificial Urinary Sphincter Corpus Spongiosum Transobturator Sling Urethral Erosion 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of UrologyDuke University Medical CenterDurhamUSA

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