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

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Book cover Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

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.

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Author information

Authors and Affiliations

  1. Division of Urology, Duke University Medical Center, DUMC 3146, Rm 1113, Green Zone, Davison Bldg, Durham, NC, 27710, USA

    Andrew C. Peterson M.D., F.A.C.S.

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  1. Andrew C. Peterson M.D., F.A.C.S.
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Correspondence to Andrew C. Peterson M.D., F.A.C.S. .

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Editors and Affiliations

  1. Department of Urology, Wake Forest University, Winston-Salem, North Carolina, USA

    Gopal H. Badlani

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Peterson, A.C. (2014). Complications of Male Incontinence Procedures: Diagnosis, Evaluation, and Management. In: Badlani, G. (eds) Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0008-4_9

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  • DOI: https://doi.org/10.1007/978-1-4939-0008-4_9

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-0007-7

  • Online ISBN: 978-1-4939-0008-4

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