6 doctors weighed in:

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

6 doctors weighed in
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Moez Khorsandi
Dr. Moez Khorsandi
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Dr. Darren Mack
Urology
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Darren Mack
Dr. Darren Mack
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1 comment
Dr. George Klauber
Agree with Dr Mack, although would add that That standard of care would dictate that cystoscopy & urodynamics be performed before continence surgery is undertaken
Dr. George Klauber
Pediatrics - Urology
1 doctor agrees

In brief: 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).

In brief: 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).
Dr. George Klauber
Dr. George Klauber
Thank
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