Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach

Male urinary incontinence is a common complication after radical prostatectomy. The severity of incontinence can be assessed in various ways and helps determine the best surgical intervention to restore continence. While most patients with mild incontinence receive a sling and those with severe inco...

Full description

Bibliographic Details
Main Authors: Andrew Johnson, Spencer Mossack, Peter Tsambarlis
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/18/4424
_version_ 1797580932931125248
author Andrew Johnson
Spencer Mossack
Peter Tsambarlis
author_facet Andrew Johnson
Spencer Mossack
Peter Tsambarlis
author_sort Andrew Johnson
collection DOAJ
description Male urinary incontinence is a common complication after radical prostatectomy. The severity of incontinence can be assessed in various ways and helps determine the best surgical intervention to restore continence. While most patients with mild incontinence receive a sling and those with severe incontinence receive an artificial urinary sphincter (AUS), there are no clear guidelines on how to manage patients with moderate post-prostatectomy incontinence (PPI). Our discussion will focus on the current literature, which demonstrates that an AUS should be considered first-line in men with moderate PPI despite perceived concerns over complications and reintervention rates.
first_indexed 2024-03-10T22:57:05Z
format Article
id doaj.art-413534d07cb04c3eb711df301c5d4853
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-10T22:57:05Z
publishDate 2023-09-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-413534d07cb04c3eb711df301c5d48532023-11-19T09:53:38ZengMDPI AGCancers2072-66942023-09-011518442410.3390/cancers15184424Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed ApproachAndrew Johnson0Spencer Mossack1Peter Tsambarlis2Rush Medical College, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University Medical Center, Chicago, IL 60612, USADepartment of Urology, Rush University Medical Center, Chicago, IL 60612, USAMale urinary incontinence is a common complication after radical prostatectomy. The severity of incontinence can be assessed in various ways and helps determine the best surgical intervention to restore continence. While most patients with mild incontinence receive a sling and those with severe incontinence receive an artificial urinary sphincter (AUS), there are no clear guidelines on how to manage patients with moderate post-prostatectomy incontinence (PPI). Our discussion will focus on the current literature, which demonstrates that an AUS should be considered first-line in men with moderate PPI despite perceived concerns over complications and reintervention rates.https://www.mdpi.com/2072-6694/15/18/4424post-prostatectomy incontinencecontinence surgeryartificial urinary sphinctermale sling
spellingShingle Andrew Johnson
Spencer Mossack
Peter Tsambarlis
Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach
Cancers
post-prostatectomy incontinence
continence surgery
artificial urinary sphincter
male sling
title Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach
title_full Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach
title_fullStr Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach
title_full_unstemmed Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach
title_short Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach
title_sort artificial urinary sphincters for moderate post prostatectomy incontinence current research and proposed approach
topic post-prostatectomy incontinence
continence surgery
artificial urinary sphincter
male sling
url https://www.mdpi.com/2072-6694/15/18/4424
work_keys_str_mv AT andrewjohnson artificialurinarysphinctersformoderatepostprostatectomyincontinencecurrentresearchandproposedapproach
AT spencermossack artificialurinarysphinctersformoderatepostprostatectomyincontinencecurrentresearchandproposedapproach
AT petertsambarlis artificialurinarysphinctersformoderatepostprostatectomyincontinencecurrentresearchandproposedapproach