A member asked:

Any new techniques for control of urinary incontinence following radical prostatectomy?

6 doctors weighed in across 3 answers

Surgery: If one develops severe urianry incontinence after radical surgery and has failed conservative management and medications, then surgery is the next option. This includes collagen injection to help close the bladder opening or placement a sling underneath the urethra. A fianl measure would be to place an artificial (plastic) sphincter to close the urethral while not urinating.

Answered 4/23/2013

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Dr. George Klauber answered

Specializes in Pediatric Urology

Arificial sphincter: Ams artificial urinary sphincter placed around the urethra is the most effective and reliable procedure to control urinary incontinence after radical prostatectomy. Device is continually being improved. Coaptite injections around bladder neck or placement of pressure pad might be successful for minor incontince however you would then have to void by valslva (straining).

Answered 2/25/2012

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Dr. Darren Mack answered

Specializes in Urology

Yes.: There are a variety of procedures to alleviate incontinence after a prostatectomy. A thorough evaluation from a urologist is recommended. Kegel exercises, urethral slings, and artificial urinary sphincters can be utilized to eliminate or improve stress urinary incontinence. Prior to surgery, your urologist might recommend some routine tests such as cystoscopy or urodynamics.

Answered 10/4/2016

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