title: Contemporary management of postprostatectomy incontinence.
abstract: BACKGROUND
  In recent years, despite improvement in the surgical technique, the prevalence of postprostatectomy incontinence has increased due to a rise in the number of radical prostatectomies performed annually.
  
  
  OBJECTIVE
  The aim of this review is to evaluate contemporary noninvasive and invasive treatment options for postprostatectomy incontinence.
  
  
  METHODS
  In August 2010, a review of the literature was performed using the Medline database.
  
  
  RESULTS
  All articles concerning noninvasive and invasive treatment for postprostatectomy incontinence were included.
  
  
  CONCLUSIONS
  No randomised controlled trials exist to compare currently used noninvasive and invasive treatments for postprostatectomy incontinence. Pelvic floor muscle training is recommended for the initial treatment of stress urinary incontinence (SUI). Additionally, antimuscarinic therapy should be applied for urgency or urge incontinence. For decades, the artificial urinary sphincter was the reference standard for persistent SUI. Nowadays, male slings are an alternative for men with mild to moderate postprostatectomy SUI.
authors: Department of Urology, Ludwig-Maximilian-University, Munich, Germany. Ricarda.Bauer@med.uni-muenchen.de
authors: Ricarda M
authors: RM
authors: Bauer
authors: Christian
authors: C
authors: Gozzi
authors: Wilhelm
authors: W
authors: Hübner
authors: Victor W
authors: VW
authors: Nitti
authors: Giacomo
authors: G
authors: Novara
authors: Andrew
authors: A
authors: Peterson
authors: Jaspreet S
authors: JS
authors: Sandhu
authors: Christian G
authors: CG
authors: Stief
mesh_terms: D019317:Evidence-Based Medicine; D006801:Humans; D008297:Male; D018727:Muscarinic Antagonists / Q000009:adverse effects / Q000627:therapeutic use*; D017773:Pelvic Floor / Q000503:physiopathology; D026741:Physical Therapy Modalities; D011468:Prostatectomy / Q000009:adverse effects*; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D053202:Urinary Incontinence, Urge / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016741:Urinary Sphincter, Artificial; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000295:instrumentation
chemical_list: D018727:Muscarinic Antagonists