Treatment options for male stress urinary incontinence.
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.
Sandhu
Jaspreet S
JS
Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 353 East 68th Street, New York, NY 10065, USA. sandhuj@mskcc.org
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
J Urol. 2005 Apr;173(4):1156-60
15758726
J Urol. 2004 Dec;172(6 Pt 1):2239-43
15538239
J Urol. 2000 Sep;164(3 Pt 1):744-8
10953138
J Urol. 1998 May;159(5):1510-5
9554344
J Urol. 2002 Feb;167(2 Pt 1):597-601
11792925
Cochrane Database Syst Rev. 2004;(1):CD001308
14973967
J Urol. 2002 May;167(5):2075-8; discussion 2079
11956443
J Urol. 2005 Apr;173(4):1132-8
15758721
J Urol. 2003 Oct;170(4 Pt 1):1252-4
14501735
J Urol. 2008 Apr;179(4):1475-9; discussion 1479
18295275
World J Urol. 1997;15(5):316-9
9372584
J Urol. 2007 Mar;177(3):1021-5
17296403
J Urol. 2005 Sep;174(3):994-7
16094021
Urology. 2007 Feb;69(2):338-42
17320674
BJU Int. 2008 May;101(9):1124-7
18399828
J Urol. 1998 Aug;160(2):402-5
9679887
J Urol. 2007 Apr;177(4):1414-8
17382743
J Urol. 1998 Apr;159(4):1206-8
9507835
J Urol. 2001 Aug;166(2):547-9
11458065
BJU Int. 2004 Apr;93(6):763-9
15049987
Rev Urol. 2001;3 Suppl 1:S2-6
16985992
J Urol. 2006 Jul;176(1):189-95
16753399
Urology. 2006 May;67(5):965-9
16698356
Eur Urol. 2005 Nov;48(5):734-8
16002204
J Urol. 1996 Mar;155(3):1011-3
8583549
J Urol. 1972 Feb;107(2):293-7
5061459
Neurourol Urodyn. 2010;29(1):179-90
20025026
Arch Intern Med. 2006 May 22;166(10):1128-33
16717176
Neurourol Urodyn. 2001;20(1):53-9
11135382
J Urol. 1997 Aug;158(2):435-9
9224318
Eur Urol. 2005 Feb;47(2):237-42; discussion 242
15661420
J Urol. 2004 Jul;172(1):204-6
15201774
Urology. 2007 Nov;70(5):942-4
18068452
J Urol. 2007 Apr;177(4):1423-5; discussion 1425-6
17382745
Cochrane Database Syst Rev. 2000;(2):CD002113
10796861
Minerva Urol Nefrol. 2009 Mar;61(1):27-40
19002101
J Urol. 2009 Jun;181(6):2622-7
19375102
J Urol. 1974 Jul;112(1):75-80
4600662
Ann Intern Med. 2000 Apr 4;132(7):547-51
10744591
J Clin Oncol. 2005 Jun 20;23(18):4146-51
15961762
J Urol. 2001 Jan;165(1):72-6
11125367
J Urol. 1999 Dec;162(6):1972-6
10569550
J Urol. 1998 Aug;160(2):364-7
9679878
J Urol. 2002 Feb;167(2 Pt 1):591-6
11792924
J Urol. 2006 Jan;175(1):196-201; discussion 201
16406909
Lancet. 2000 Jan 8;355(9198):98-102
10675166
NCI Monogr. 1988;(7):133-7
3173499
Eur Urol. 2006 Nov;50(5):969-79; discussion 980
16469429
Urol Clin North Am. 1991 May;18(2):211-27
2017805
J Urol. 1996 Apr;155(4):1256-9
8632545
BJU Int. 2008 Jan;101(1):52-8
17908260
J Urol. 2003 Aug;170(2 Pt 1):490-3
12853806
J Urol. 2000 Jun;163(6):1767-70
10799178
J Urol. 2000 Sep;164(3 Pt 1):702-6; discussion 706-7
10953129
Urology. 2005 Aug;66(2):392-6
16040102
Radiother Oncol. 2005 Feb;74(2):197-201
15818868
Eur Urol. 2006 Nov;50(5):903-13; discussion 913
16956715
J Urol. 2002 Sep;168(3):1032-5
12187216
Eur Urol. 2007 Sep;52(3):860-6
17316969
J Urol. 2001 Nov;166(5):1755-8
11586217
N Engl J Med. 2002 Apr 11;346(15):1138-44
11948274
J Urol. 1996 Nov;156(5):1707-13
8863576
J Urol. 2005 Apr;173(4):1242-5
15758761
Am J Manag Care. 2005 Jul;11(4 Suppl):S103-11
16161383