[Conservative management of postoperative urinary incontinence in men]

Urologe A. 2010 Apr;49(4):498-503. doi: 10.1007/s00120-010-2264-1.
[Article in German]

Abstract

Urinary incontinence in men most commonly occurs after radical prostatectomy. Of these patients, 3-23% remain incontinent a year after prostatectomy. Data on conservative therapy for postoperative incontinence is contradictory. Nonetheless, conservative treatment strategies must generally be attempted before any operative technique. Early pelvic floor muscle training with or without biofeedback therapy and duloxetine seem to have a positive effect on continence. Further randomised controlled studies are necessary to accurately assess other conservative therapeutic options such as extracorporeal magnetic innervation and electrical stimulation therapy.

Publication types

  • English Abstract

MeSH terms

  • Adrenergic Uptake Inhibitors / therapeutic use
  • Biofeedback, Psychology
  • Combined Modality Therapy
  • Duloxetine Hydrochloride
  • Electric Stimulation Therapy
  • Exercise Therapy
  • Humans
  • Magnetic Field Therapy
  • Male
  • Postoperative Complications / therapy*
  • Prostatectomy*
  • Thiophenes / therapeutic use
  • Urinary Incontinence, Stress / therapy*

Substances

  • Adrenergic Uptake Inhibitors
  • Thiophenes
  • Duloxetine Hydrochloride