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Post‐prostatectomy incontinence: Part II. The results of treatment based on urodynamic evaluation
Author(s) -
Leach Gary E.,
Yun Scott K.
Publication year - 1992
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.1930110204
Subject(s) - medicine , anticholinergic , urology , prostatectomy , sphincter , urinary incontinence , urodynamic testing , artificial urinary sphincter , catheter , surgery , prostate , cancer
One hundred seven men with post‐prostatectomy incontinence, were initially evaluated with in‐depth urodynamics. Fifty‐four of these men underwent treatment based on urodynamic findings and were available for follow‐up ranging from 12 to 84 months (mean 40 months). Treatment included anticholinergic therapy for patients with bladder dysfunction, artificial sphincter placement for those with only pure sphincteric insufficiency, or anticholinergics followed by an artificial sphincter in those with combined bladder dysfunction and sphincteric insufficiency. Excellent objective responses were obtained after therapy based on urodynamic findings. Forty‐seven (87%) of the 54 treated men became “socially continent” (using two pads or less per day). Prior to treatment, 38 men used pads for incontinence with a mean of five pads per day, and the other 16 wore external catheters. With therapy based on urodynamic findings, no patients required an external catheter, and the mean number of pads used per day decreased to one. Urodynamic evaluation followed by appropriate treatment based on urodynamic findings is effective in significantly improving or eliminating post‐prostatectomy incontinence. © 1992 Wiley‐Liss, Inc.