التفاصيل البيبلوغرافية
| العنوان: |
Surgical management of post prostatectomy incontinence |
| المؤلفون: |
Natalija Kovacevic, Priya Padmanabhan |
| المصدر: |
Prostate International, Vol 12, Iss 2, Pp 65-69 (2024) |
| بيانات النشر: |
Elsevier, 2024. |
| سنة النشر: |
2024 |
| المجموعة: |
LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: |
Artificial urinary sphincter, Male sling, Post prostatectomy incontinence, Prostatectomy, Stress incontinence, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: |
Post prostatectomy incontinence (PPI) is a well-recognized and bothersome complication following radical prostatectomy. Conservative measures such as pelvic floor physical therapy, biofeedback, and medication are first line management of PPI. When first line therapies fail, patients are offered a variety of surgical procedures based on the degree of incontinence, prior radiation therapy, and comorbidities. Among the various surgical options, placement of an artificial urinary sphincter (AUS) is the gold standard for PPI. However, AUS placement has a high rate of re-operation and requires good manual dexterity. In cases of mild-moderate incontinence, especially in patients without prior radiation therapy, male slings and proACT are a less invasive option. Bulking therapy, although highly successful for female stress urinary incontinence (SUI), is not currently advised in the treatment of male SUI. Regardless of surgical approach used to treat PPI, providers should counsel patients regarding risks of re-operation and have an open an honest discussion regarding the degree of continence that can be restored following each procedure. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2287-8882 |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S2287888224000308; https://doaj.org/toc/2287-8882 |
| DOI: |
10.1016/j.prnil.2024.04.005 |
| URL الوصول: |
https://doaj.org/article/0b03a044b3434f9fad7e59aa49f00495 |
| رقم الانضمام: |
edsdoj.0b03a044b3434f9fad7e59aa49f00495 |
| قاعدة البيانات: |
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