Treatment of postprostatectomy urinary incontinence with behavioral methods.
Prostate cancer is the most commonly diagnosed cancer in men. The radical prostatectomy is the treatment of choice for localized cancer; however, this surgery carries with it the potential complication of urinary incontinence postoperatively. The increasing number of radical prostatectomies each year will thus lead to a growing number of patients suffering from postprostatectomy urinary incontinence. According to the medical literature, the treatment of postprostatectomy incontinence is almost always limited to pharmacological or surgical therapy. Because of the failure of the standard treatment options, many men are left to live with their incontinence. The guidelines for the treatment of urinary incontinence recommend the use of behavioral methods as first-line treatment for stress and urge incontinence. The potential treatment of postprostatectomy incontinence with the use of behavioral methods has a promising future for the advanced practice nurse and for the men who are affected.
Harris
J L
JL
Urology Department, San Francisco Veterans Administration Medical Center, USA.
D000368:Aged; D001521:Behavior Therapy / Q000379:methods*; D001676:Biofeedback, Psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D011468:Prostatectomy; D001745:Urinary Bladder Diseases / Q000150:complications; D014549:Urinary Incontinence / Q000503:physiopathology / Q000628:therapy*