[Conservative treatment of male stress incontinence].
The majority of male patients affected by stress incontinence developed this disturbance after radical prostatectomy or less frequently after TURP. Urodynamic evaluation shows sphincter insufficiency in more than 90% of the patients. The conservative therapy of postprostatectomy stress incontinence relies on physical methods, namely, pelvic floor muscle training with or without electrical or magnetic stimulation. However, evidence in favor of one or the other approach is limited. Since publication of the positive results with duloxetine in women, interest in medical therapy for men reporting postoperative stress incontinence has increased. Conclusive evidence in favor of duloxetine for prostatectomy-associated incontinence however is still missing.
Buse
S
S
Urologische Universitätsklinik, Ruprecht-Karls-Universität, Im Neuenheimer Feld 110, 69121, Heidelberg, Deutschland. stephan.buse@med.uni-heidelberg.de
Reitz
A
A
Haferkamp
A
A
Hohenfellner
M
M
D000068736:Duloxetine Hydrochloride; D004599:Electric Stimulation Therapy / Q000379:methods*; D005858:Germany; D006801:Humans; D008297:Male; D026741:Physical Therapy Modalities; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000639:trends*; D011468:Prostatectomy / Q000009:adverse effects*; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D013876:Thiophenes / Q000627:therapeutic use*; D014550:Urinary Incontinence, Stress / Q000209:etiology* / Q000628:therapy
D000068736:Duloxetine Hydrochloride; D017367:Selective Serotonin Reuptake Inhibitors; D013876:Thiophenes