The Etiology of Post-Radical Prostatectomy Incontinence and Correlation of Symptoms With Urodynamic Findings

Ficazzola, Michael; Νitti, Victor W.

doi:10.1097/00005392-199810000-00027

Cited by 51 publications

(76 citation statements)

References 14 publications

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“…In a post-prostatectomy population one study reports clinical history to be 1.00 sensitive and 0.50 specific for diagnosing USI and 0.50 sensitive and 0.77 specific for diagnosing DO. 168 One study reports a sensitivity of 0.73 and specificity of 0.60 for the diagnosis of DO by clinical history 169 and one study reports a higher incidence of urge symptoms in a urodynamically confirmed DO group compared with a urodynamically normal group.…”

Section: Diagnosis Of Do and Usi In Menmentioning

confidence: 99%

Systematic review and evaluation of methods of assessing urinary incontinence

Martin

Williams²,

Abrams³

et al. 2006

Health Technol Assess

111

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Section: Diagnosis Of Do and Usi In Menmentioning

confidence: 99%

Systematic review and evaluation of methods of assessing urinary incontinence

Martin

Williams²,

Abrams³

et al. 2006

Health Technol Assess

111

View full text Add to dashboard Cite

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“…Broadly, these include detrusor over-and underactivity, decreased vesical compliance, ISD, and bladder outlet obstruction, as in the case of anastomotic strictures. [16,50] The presence of these factors pre-operatively must also be considered. Most cases of incontinence are a result of intraoperative damage to the native urinary sphincteric mechanisms [11] , particularly the intrinsic sphincter component.…”

Section: Pathophysiologymentioning

confidence: 99%

“…Most cases of incontinence are a result of intraoperative damage to the native urinary sphincteric mechanisms [11] , particularly the intrinsic sphincter component. [16,50,51] Bladder denervation during prostatectomy is also a frequent cause of incontinence after the operation, resulting in impaired detrusor contractility and poor bladder compliance.…”

Section: Pathophysiologymentioning

confidence: 99%

Post-prostatectomy incontinence: Etiology, evaluation, and management

Singla

2014

Turkish Journal of Urology

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Urinary incontinence after prostatectomy or radiation is a devastating problem in men and remains the most feared complication following the treatment of localized prostate cancer. With an increasing number of radical prostatectomies performed globally for prostate cancer, the impact of urinary incontinence on quality of life assumes an even greater importance. With the advent of male sling procedures, more men are now seeking treatment for incontinence. Since the introduction of the artificial urinary sphincter almost four decades ago, several surgical procedures have emerged to manage post-prostatectomy incontinence, including the male sling for milder forms of incontinence. Several of the newer procedures have shown promise in the United States; many others have been developed and utilized in other parts of the world, though they have not yet gained FDA approval in the United States. The present review seeks to illuminate the etiology, evaluation, and management of post-prostatectomy incontinence. An effort has been made to provide an algorithm to clinicians for appropriate surgical management. The surgical techniques of commonly performed procedures and their outcomes are described.

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“…The UI rate after RP remains high even with the advances in the surgical technique and technology. UI after RP is primarily SUI related to ISD [48][49][50] but bladder dysfunction after such a major pelvic surgery was also found to have a role [51][52][53]. Examples of bladder dysfunction after RP include DO, low bladder compliance, impaired detrusor contractility, or changed bladder sensation.…”

Section: Voiding Dysfunction After Rpmentioning

confidence: 99%

Role of Urodynamics in the Evaluation of Elderly Voiding Dysfunction

Mahdy

Ghoniem

2014

Curr Bladder Dysfunct Rep

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Voiding dysfunction is a common condition in the elderly that can affect both men and women. Due to the ageassociated changes in the lower urinary tract, voiding dysfunction in the elderly is usually complex and multifactorial, necessitating more objective testing sometimes. In this chapter, we will focus on the role of urodynamics in the setting of voiding dysfunction in the elderly. The term voiding dysfunction will be used to refer both to storage and obstructive lower urinary tract symptoms.

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The Etiology of Post-Radical Prostatectomy Incontinence and Correlation of Symptoms With Urodynamic Findings

Cited by 51 publications

References 14 publications

Systematic review and evaluation of methods of assessing urinary incontinence

Systematic review and evaluation of methods of assessing urinary incontinence

Post-prostatectomy incontinence: Etiology, evaluation, and management

Role of Urodynamics in the Evaluation of Elderly Voiding Dysfunction

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