Surgical treatment of post prostatectomy incontinence
Authors:
R. Zachoval; M. Záleský; V. Borovička; P. Holý
Authors‘ workplace:
Primář: Doc. MUDr. Roman Zachoval, Ph. D.
; Urologické oddělení Thomayerovy nemocnice, Praha
Published in:
Prakt. Lék. 2014; 94(3): 120-125
Category:
Of different specialties
Overview
For several decades standard surgical treatment for patients with moderate to severe degree of incontinence has been an implantation of artificial urinary sphincters. Complication rate and possibility of surgical revision in patients with artificial urinary sphincter is relatively high and manual dexterity of patients for operating the system is demanded. That is why minimally invasive methods (sling procedures) are being used more often at present. Sling procedures seem to be suitable alternative for patients with mild to moderate degree of incontinence. They can also be used for severe degree of incontinence in patients preferring minimally invasive surgery although they have slightly inferior results. Implantation of periurethral bulking agents is suitable only for selected groups of patients as the long term results are not satisfying. High complication rate has been reported after adjustable balloon system implantation and therefore more data is needed to acquire. Implantation by means of transrectal ultrasound probe decreases the number of these complications. Stem cell therapy is not recommended at present.
Keywords:
incontinence – radical prostatectomy – artificial urinary sphincter – sling
Sources
1. Bauer RM, Mayer ME, May F, et al. Complication of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. Urology 2010; 75: 1494–1498.
2. Berry J. New procedure for correction of urinary incontinence: a preliminary report. J Urol 1961; 85: 771–775.
3. Campos-Fernandes JL, Timsit MO, Parapel P, et al. REMEEX: A possible treatment option in selected cases of sphincter incompetence. Prog Urol 2006; 16: 184–191.
4. Cornu J-N, Sebe P, Ciofu C, et al. The AdVance transobturator male sling for postprostatectomy incontinence: clinical results of a prospective evaluation after a minimum follow-up of 6 months. Eur Urol 2009; 56: 923–927.
5. Fassi-Fehri H, Badet I, Cherass A, et al. Efficacy of the InVance male sling in men with stress urinary incontinence. Eur Urol 2007; 51: 498–503.
6. Fisher MB, Aggarwal N, Vuruskan H, Singla AK. Efficacy of artificial urinary sphincter implantation after failed bone-anchored male sling for postprostatectomy incontinence. Urology 2007; 70: 942–944.
7. Galli, S, Simonato, A, Bozzola A, et al. Oncologic outcome and continence recovery after laparoscopic radical prostatectomy: 3 years’ follow-up in a „second generation center“. Eur Urol, 2006; 49: 859–865.
8. Giberti C, Gallo F, Schenone M, Cortese P. The bone-anchor suburethral synthetic sling the treatment of iatrogenic male incontinence: subjective and objective assessment after 41 months of mean follow-up. World J Urol 2008; 26: 173–178.
9. Giberti C, Gallo F, Schenone M, et al. The bone anchor suburethral synthetic sling for iatrogenic male incontinence: critical evaluation at a mean 3-year followup. J Urol 2009; 181: 2204–2208.
10. Gilling PJ, Bell DF, Wilson LC, et al. An adjustable continence therapy device for treating incontinence after prostatectomy: a minimum – year follow-up. BJU Int 2008; 102: 1426–1430.
11. Gomes CM, Broderick GA, Sanchez-Ortiz RF, et al. Artificial urinary sphincter for post-prostatectomy incontinence: impact of prior collagen injection on cost and clinical outcome. J Urol 2000; 163: 87–90.
12. Gomha MA, Boone TB. Artificial urinary sphincter for post-prostatectomy incontinence in men who had prior radiotherapy: a risk and outcome analysis. J Urol 2002; 167: 591–596.
13. Gregori A, Simonato A, Lissiani A, et al. Transrectal ultrasound guided implantation of the ProACT adjustable continence therapy system in patients with post-radical prostatectomy stress urinary incontinence: a pilot study. J Urol 2006; 176: 2109–2113.
14. Henry GD, Graham SM, Cornall RJ, et al. A multicenter study on the perineal versus penoscrotal approach for implantation of an artificial urinary sphincter: cuff size and control of male stress urinary incontinence. J Urol 2009; 182: 1404–1409.
15. Hoda MR, Primus G, Fischereder K, et al. Early results of a European multicentre experience with a new self-anchoring adjustable transobturator system for treatment of stress urinary incontinence in men. BJU Int 2013; 111: 296–303.
16. Hubner WA, Gallistl H, Rutkowski M, Huber ER. Adjustable bulbourethral male sling: experience after 101 cases of moderate-to-severe male stress urinary incontinence. BJU Int 2011; 107: 777–782.
17. Imamoglu MA, Tuygun C, Bakirtas H, et al. The comparison of artificial urinary sphincter implantation and endourethral macroplastique injection for the treatment of post-prostatectomy incontinence. Eur Urol 2005; 47: 209–213.
18. Lepor H, Kaci L. The impact of open radical prostatectomy on continence and lower urinary tract symptoms: a prospective assessment using validated self-administered outcome instruments. J Urol 2004; 171: 1216–1219.
19. Loughlin KR, Prasad MM. Post-prostatectomy urinary incontinence: a confluence of 3 factors. J Urol 2010; 183: 871–877.
20. Lucas MG, Bedretdinova D, Bosch JLHR, et al. Guidelines on urinary incontinence. European Association of Urology 2013 [online]. Dostupné na: http://www.uroweb.org/gls/pdf/16052013Urinary_Incontinence_LR.pdf. [cit. 22-7-2013]
21. Mitterberger M, Marksteiner R, Margreiter E, et al. Myoblast and fibroblast therapy for post-prostatectomy urinary incontinence: 1-year followup of 63 patients. J Urol 2008; 179: 226–231.
22. O’Connor RC, Nanigian DK, Patel BN, et al. Artificial urinary sphincter placement in elderly men. Urology 2007; 69: 126–128.
23. Onur R, Singla A. Comparison of bone-anchored male sling and collagen implant for the treatment of male incontinence. Int J Urol 2006; 13: 1207–1211.
24. Raj GV, Peterson AC, Toh KL. Webster GD. Outcomes following revisions and secondary implantation of the artificial urinary sphincter. J Urol 2005; 173: 1242–1245.
25. Rehder P, Gozzi C. Transobturator sling suspension for male urinary incontinence including post-radical prostatectomy. Eur Urol 2007; 52: 860–867.
26. Rehder P, Freiin von Gleissenthall G, Pichler R, Glodny B. The treatment of postprostatectomy incontinence with the retroluminal transobturator repositioning sling (Advance): lessons learnt from accumulative experience. Arch Esp Urol 2009; 62: 860–870.
27. Rehder P, Metterberger MJ, Pichler R, et al. The 1 year outcome of the transobturator retroluminar repositioning sling in the treatment of male stress urinary incontinence. BJU Int 2010; 106: 1668–1672.
28. Shamliyan TA, Wyman JF, Ping R, et al. Male urinary incontinence: prevalence, risk factors, and preventive interventions. Rev Urol 2009; 11: 145–165.
29. Stenberg A, Larsson E, Lindholm A, et al. Injectable dextranomer-based implant: histopathology, volume changes and DNA-analysis. Scand J Urol Nephrol 1999; 33: 355–361.
30. Wei JT, Montie JE. Comparison of patients’ and physicians’ rating of urinary incontinence following radical prostatectomy. Semin Urol Oncol 2000; 18: 76–80.
31. Wilson SK, Delk J, Henry GD, Siegel AL. New surgical technique for sphincter urinary control system using upper transverse scrotal incision. J Urol 2003; 169: 261–264.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
![Issue 3](https://www.prolekare.cz/media/cache/resolve/journal_issue/media/image_pdf/b72a3025716da446329cd91a308663d4.jpeg)
2014 Issue 3
Most read in this issue
- Allergy vaccine in general practice
- Children poisoning – experiences of Poisons Information Centre in Prague
- Facial pain: rhinosinusitis or other reason?
- Results of Adam’s test of scoliotic vertebral rotation in primary school students