title: Treatment options for male stress urinary incontinence.
abstract: The diagnosis and management of male stress urinary incontinence (SUI) is complex. Various etiologies exist, with radical prostatectomy being the most common cause in men seeking treatment. SUI in this setting is often temporary and resolves within the first postoperative year. Therefore, it is important to understand the natural history of male SUI before initiating treatment. Generally, the initial management of SUI that persists after 12 months consists of conservative measures, such as pelvic floor muscle exercises. Several treatments are available for men whose continence does not improve after pelvic floor muscle exercises. In order of increasing complexity they are urethral bulking agents, male slings, and the artificial urinary sphincter (AUS). With over 30 years of published data suggesting excellent long-term outcomes, the AUS is considered the gold standard treatment of male SUI. Male slings have recently demonstrated efficacy for selected patients and are likely to be used more often in the future as experience with these devices grows.
authors.affiliation: Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 353 East 68th Street, New York, NY 10065, USA. sandhuj@mskcc.org
authors.forename: Jaspreet S
authors.initials: JS
authors.lastname: Sandhu
mesh_terms: D000818:Animals; D001676:Biofeedback, Psychology / Q000379:methods; D005081:Exercise Therapy / Q000379:methods; D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology* / Q000523:psychology / Q000628:therapy*; D016741:Urinary Sphincter, Artificial
references.citation: J Urol. 2005 Apr;173(4):1156-60
references.pmid: 15758726
references.citation: J Urol. 2004 Dec;172(6 Pt 1):2239-43
references.pmid: 15538239
references.citation: J Urol. 2000 Sep;164(3 Pt 1):744-8
references.pmid: 10953138
references.citation: J Urol. 1998 May;159(5):1510-5
references.pmid: 9554344
references.citation: J Urol. 2002 Feb;167(2 Pt 1):597-601
references.pmid: 11792925
references.citation: Cochrane Database Syst Rev. 2004;(1):CD001308
references.pmid: 14973967
references.citation: J Urol. 2002 May;167(5):2075-8; discussion 2079
references.pmid: 11956443
references.citation: J Urol. 2005 Apr;173(4):1132-8
references.pmid: 15758721
references.citation: J Urol. 2003 Oct;170(4 Pt 1):1252-4
references.pmid: 14501735
references.citation: J Urol. 2008 Apr;179(4):1475-9; discussion 1479
references.pmid: 18295275
references.citation: World J Urol. 1997;15(5):316-9
references.pmid: 9372584
references.citation: J Urol. 2007 Mar;177(3):1021-5
references.pmid: 17296403
references.citation: J Urol. 2005 Sep;174(3):994-7
references.pmid: 16094021
references.citation: Urology. 2007 Feb;69(2):338-42
references.pmid: 17320674
references.citation: BJU Int. 2008 May;101(9):1124-7
references.pmid: 18399828
references.citation: J Urol. 1998 Aug;160(2):402-5
references.pmid: 9679887
references.citation: J Urol. 2007 Apr;177(4):1414-8
references.pmid: 17382743
references.citation: J Urol. 1998 Apr;159(4):1206-8
references.pmid: 9507835
references.citation: J Urol. 2001 Aug;166(2):547-9
references.pmid: 11458065
references.citation: BJU Int. 2004 Apr;93(6):763-9
references.pmid: 15049987
references.citation: Rev Urol. 2001;3 Suppl 1:S2-6
references.pmid: 16985992
references.citation: J Urol. 2006 Jul;176(1):189-95
references.pmid: 16753399
references.citation: Urology. 2006 May;67(5):965-9
references.pmid: 16698356
references.citation: Eur Urol. 2005 Nov;48(5):734-8
references.pmid: 16002204
references.citation: J Urol. 1996 Mar;155(3):1011-3
references.pmid: 8583549
references.citation: J Urol. 1972 Feb;107(2):293-7
references.pmid: 5061459
references.citation: Neurourol Urodyn. 2010;29(1):179-90
references.pmid: 20025026
references.citation: Arch Intern Med. 2006 May 22;166(10):1128-33
references.pmid: 16717176
references.citation: Neurourol Urodyn. 2001;20(1):53-9
references.pmid: 11135382
references.citation: J Urol. 1997 Aug;158(2):435-9
references.pmid: 9224318
references.citation: Eur Urol. 2005 Feb;47(2):237-42; discussion 242
references.pmid: 15661420
references.citation: J Urol. 2004 Jul;172(1):204-6
references.pmid: 15201774
references.citation: Urology. 2007 Nov;70(5):942-4
references.pmid: 18068452
references.citation: J Urol. 2007 Apr;177(4):1423-5; discussion 1425-6
references.pmid: 17382745
references.citation: Cochrane Database Syst Rev. 2000;(2):CD002113
references.pmid: 10796861
references.citation: Minerva Urol Nefrol. 2009 Mar;61(1):27-40
references.pmid: 19002101
references.citation: J Urol. 2009 Jun;181(6):2622-7
references.pmid: 19375102
references.citation: J Urol. 1974 Jul;112(1):75-80
references.pmid: 4600662
references.citation: Ann Intern Med. 2000 Apr 4;132(7):547-51
references.pmid: 10744591
references.citation: J Clin Oncol. 2005 Jun 20;23(18):4146-51
references.pmid: 15961762
references.citation: J Urol. 2001 Jan;165(1):72-6
references.pmid: 11125367
references.citation: J Urol. 1999 Dec;162(6):1972-6
references.pmid: 10569550
references.citation: J Urol. 1998 Aug;160(2):364-7
references.pmid: 9679878
references.citation: J Urol. 2002 Feb;167(2 Pt 1):591-6
references.pmid: 11792924
references.citation: J Urol. 2006 Jan;175(1):196-201; discussion 201
references.pmid: 16406909
references.citation: Lancet. 2000 Jan 8;355(9198):98-102
references.pmid: 10675166
references.citation: NCI Monogr. 1988;(7):133-7
references.pmid: 3173499
references.citation: Eur Urol. 2006 Nov;50(5):969-79; discussion 980
references.pmid: 16469429
references.citation: Urol Clin North Am. 1991 May;18(2):211-27
references.pmid: 2017805
references.citation: J Urol. 1996 Apr;155(4):1256-9
references.pmid: 8632545
references.citation: BJU Int. 2008 Jan;101(1):52-8
references.pmid: 17908260
references.citation: J Urol. 2003 Aug;170(2 Pt 1):490-3
references.pmid: 12853806
references.citation: J Urol. 2000 Jun;163(6):1767-70
references.pmid: 10799178
references.citation: J Urol. 2000 Sep;164(3 Pt 1):702-6; discussion 706-7
references.pmid: 10953129
references.citation: Urology. 2005 Aug;66(2):392-6
references.pmid: 16040102
references.citation: Radiother Oncol. 2005 Feb;74(2):197-201
references.pmid: 15818868
references.citation: Eur Urol. 2006 Nov;50(5):903-13; discussion 913
references.pmid: 16956715
references.citation: J Urol. 2002 Sep;168(3):1032-5
references.pmid: 12187216
references.citation: Eur Urol. 2007 Sep;52(3):860-6
references.pmid: 17316969
references.citation: J Urol. 2001 Nov;166(5):1755-8
references.pmid: 11586217
references.citation: N Engl J Med. 2002 Apr 11;346(15):1138-44
references.pmid: 11948274
references.citation: J Urol. 1996 Nov;156(5):1707-13
references.pmid: 8863576
references.citation: J Urol. 2005 Apr;173(4):1242-5
references.pmid: 15758761
references.citation: Am J Manag Care. 2005 Jul;11(4 Suppl):S103-11
references.pmid: 16161383