Surgical treatment of post-prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinence

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author AVERBECK, Marcio A.
WOODHOUSE, Christopher
COMITER, Craig
BRUSCHINI, Homero FMUSP-HC
HANUS, Thomas
HERSCHORN, Sender
GOLDMAN, Howard B.
dc.date.issued 2019
dc.identifier.citation NEUROUROLOGY AND URODYNAMICS, v.38, n.1, p.398-406, 2019
dc.identifier.issn 0733-2467
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/30772
dc.description.abstract Aims To report the recommendations of the 6th International Consultation on Incontinence (ICI) on post-prostatectomy urinary incontinence. Methods The 6th ICI committee on surgical treatment of urinary incontinence in men assessed and reviewed the outcomes of surgical therapy and updated the prior recommendations published in 2013. Articles from peer-reviewed journals, abstracts from scientific meetings, and literature searches by hand and electronically formed the basis of this review. The resulting guidelines were presented at the 2016 ICI meeting in Tokyo, Japan. Results Voiding diary and pad tests are valuable for assessing quantity of leakage. Cystoscopy and/or urodynamics may be useful in guiding therapy depending on the type of incontinence and presumed etiology. Artificial Urinary Sphincter (AUS) is the preferred treatment for men with moderate to severe stress urinary incontinence (SUI) after RP. Male slings are an acceptable approach for men with mild to moderate SUI. Much discussion centers on the definition of moderate SUI. Injectable agents have a poor success rate in men with SUI. Options for recurrent SUI due to urethral atrophy after AUS implantation include changing the pressure balloon, downsizing the cuff and increasing the amount of fluid in the system. Infection and/or erosion demand surgical removal or revision of all or part of the prosthesis. Conclusions Although there are several series reporting the outcomes of different surgical interventions for PPUI, there is still a need for prospective randomized clinical trials. Recommendations for future research include standardized workup and outcome measures, and complete reporting of adverse events at long-term.
dc.language.iso eng
dc.publisher WILEY
dc.relation.ispartof Neurourology and Urodynamics
dc.rights restrictedAccess
dc.subject artificial sphincter; male; male sling; urinary stress incontinence
dc.subject.other postradical prostatectomy incontinence; radical retropubic prostatectomy; continence therapy proact(tm); residual urine; cuff erosion; follow-up; ams 800; sphincter; single; pathophysiology
dc.title Surgical treatment of post-prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinence
dc.type article
dc.rights.holder Copyright WILEY
dc.description.group LIM/55
dc.identifier.doi 10.1002/nau.23845
dc.identifier.pmid 30350875
dc.type.category review
dc.type.version publishedVersion
hcfmusp.author BRUSCHINI, Homero:FM:MCG
hcfmusp.author.external · AVERBECK, Marcio A.:Moinhos de Vento Hosp, Dept Urol, Porto Alegre, RS, Brazil
· WOODHOUSE, Christopher:UCL, Adolescent Urol, London, England
· COMITER, Craig:Stanford Med Sch, Stanford, CA USA
· HANUS, Thomas:Charles Univ Prague, Fac Med 1, Prague, Czech Republic
· HERSCHORN, Sender:Sunnybrook & Womens Hlth Sci Ctr, Toronto, ON, Canada
· GOLDMAN, Howard B.:Cleveland Clin Fdn, Glickman Urol Inst, 9500 Euclid Ave, Cleveland, OH 44195 USA
hcfmusp.origem.id WOS:000454511600047
hcfmusp.origem.id 2-s2.0-85055474010
hcfmusp.publisher.city HOBOKEN
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
dc.identifier.eissn 1520-6777
hcfmusp.citation.scopus 1
hcfmusp.citation.wos 0
hcfmusp.affiliation.country Brasil
hcfmusp.affiliation.country Canadá
hcfmusp.affiliation.country Inglaterra
hcfmusp.affiliation.country Estados Unidos
hcfmusp.affiliation.country República Tcheca


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