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

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorAVERBECK, Marcio A.
dc.contributor.authorWOODHOUSE, Christopher
dc.contributor.authorCOMITER, Craig
dc.contributor.authorBRUSCHINI, Homero
dc.contributor.authorHANUS, Thomas
dc.contributor.authorHERSCHORN, Sender
dc.contributor.authorGOLDMAN, Howard B.
dc.date.accessioned2019-02-21T17:20:48Z
dc.date.available2019-02-21T17:20:48Z
dc.date.issued2019
dc.description.abstractAims 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.eng
dc.description.indexMEDLINEeng
dc.identifier.citationNEUROUROLOGY AND URODYNAMICS, v.38, n.1, p.398-406, 2019
dc.identifier.doi10.1002/nau.23845
dc.identifier.eissn1520-6777
dc.identifier.issn0733-2467
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/30772
dc.language.isoeng
dc.publisherWILEYeng
dc.relation.ispartofNeurourology and Urodynamics
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright WILEYeng
dc.subjectartificial sphinctereng
dc.subjectmaleeng
dc.subjectmale slingeng
dc.subjecturinary stress incontinenceeng
dc.subject.otherpostradical prostatectomy incontinenceeng
dc.subject.otherradical retropubic prostatectomyeng
dc.subject.othercontinence therapy proact(tm)eng
dc.subject.otherresidual urineeng
dc.subject.othercuff erosioneng
dc.subject.otherfollow-upeng
dc.subject.otherams 800eng
dc.subject.othersphinctereng
dc.subject.othersingleeng
dc.subject.otherpathophysiologyeng
dc.subject.wosUrology & Nephrologyeng
dc.titleSurgical treatment of post-prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinenceeng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryRepública Tcheca
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisogb
hcfmusp.affiliation.countryisocz
hcfmusp.affiliation.countryisoca
hcfmusp.author.externalAVERBECK, Marcio A.:Moinhos de Vento Hosp, Dept Urol, Porto Alegre, RS, Brazil
hcfmusp.author.externalWOODHOUSE, Christopher:UCL, Adolescent Urol, London, England
hcfmusp.author.externalCOMITER, Craig:Stanford Med Sch, Stanford, CA USA
hcfmusp.author.externalHANUS, Thomas:Charles Univ Prague, Fac Med 1, Prague, Czech Republic
hcfmusp.author.externalHERSCHORN, Sender:Sunnybrook & Womens Hlth Sci Ctr, Toronto, ON, Canada
hcfmusp.author.externalGOLDMAN, Howard B.:Cleveland Clin Fdn, Glickman Urol Inst, 9500 Euclid Ave, Cleveland, OH 44195 USA
hcfmusp.citation.scopus41
hcfmusp.contributor.author-fmusphcHOMERO BRUSCHINI
hcfmusp.description.beginpage398
hcfmusp.description.endpage406
hcfmusp.description.issue1
hcfmusp.description.volume38
hcfmusp.origemWOS
hcfmusp.origem.pubmed30350875
hcfmusp.origem.scopus2-s2.0-85055474010
hcfmusp.origem.wosWOS:000454511600047
hcfmusp.publisher.cityHOBOKENeng
hcfmusp.publisher.countryUSAeng
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