Continence, incontinence and the aging male

Late‐onset incontinence in a cohort of radical prostatectomy patients

“…We reassessed individuals who leaked trying to find an explanation for their condition. The incidence of neurological disorders, like dementia or Parkinson's disease, or type II diabetes mellitus, could explain only a minority of cases while they are major contributors to the onset of incontinence in the aging male or immediately after prostatectomy 11 . Moreover most of the subjects examined had stress incontinence that is not usually linked to neurological disorders.…”

“…The cause of post‐prostatectomy incontinence is a mix of sphincter weakness and detrusor instability 11 . There are recognized prognostic factors of this condition.…”

“…7 The cause of post-prostatectomy incontinence is a mix of sphincter weakness and detrusor instability. 11 There are recognized prognostic factors of this condition. Decreasing age at surgery, nerve-sparing techniques, and absence of anastomotic stricture have an independent protective association with post-therapeutic continence in many series, 7,8,[12][13][14] whereas adjuvant radiotherapy has not.…”

“…The incidence of neurological disorders, like dementia or Parkinson's disease, or type II diabetes mellitus, could explain only a minority of cases while they are major contributors to the onset of incontinence in the aging male or immediately after prostatectomy. 11 Moreover most of the subjects examined had stress incontinence that is not usually linked to neurological disorders. So the high rate of late-onset incontinence is more probably associated with ageing and consequently weakened sphincteric musculature that works in the context of a pelvic anatomy modified by radical prostatectomy.…”