A clinical overview of the treatment of post-prostatectomy incontinence.
This article discusses benign prostatic hyperplasia, which may be treated by a transurethral resection of prostate and prostate cancer which in turn may be treated by a radical prostatectomy. During both operations the bladder neck sphincter is damaged and continence relies on a competent external urethral sphincter. After surgery men may suffer from stress urinary incontinence, urge urinary incontinence and erectile dysfunction. Men undergoing prostatectomy would benefit from pre- and post-prostatectomy pelvic floor exercises including advice on how and when to perform them. Pelvic floor exercises can significantly help men with urinary incontinence and erectile dysfunction.
Dorey
Grace
G
Somerset Nuffield Hospital, Taunton.
D000328:Adult; D007172:Erectile Dysfunction / Q000209:etiology; D006801:Humans; D008297:Male; D017773:Pelvic Floor / Q000503:physiopathology; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery; D020728:Transurethral Resection of Prostate / Q000009:adverse effects; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy*; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000628:therapy