title: [Conservative treatment of male non-neurologic urinary incontinence: a review by the LUTS committee of the French Urological Association].
abstract: OBJECTIVE
  To perform an update on the conservative treatment of male non-neurologic urinary incontinence.
  
  
  METHODS
  A systematic review was conducted using PubMed/MEDLINE with the following keywords: "incontinence", "male stress urinary incontinence", "pelvic floor training", "biofeedback", "absorbant products", "life style", "penile clamp".
  
  
  RESULTS
  Palliative devices like penile clamps, penile sheaths and absorbent products were transitory options that were poorly evaluated. Life style modifications (scheduled voiding, controlled hydric absorption, decreased caffeine and spice intake) were useful in complement of other treatments especially in case of overactive bladder. Pelvic floor training (PFT) was useful after radical prostatectomy but remained optional for other types of incontinence. It accelerated the continence recovery postoperatively but it results at 1 year were uncertain. These results were maintained 1 year. Conservative treatments were useful postoperatively especially early supervised PFT. The benefit of biofeedback and perineal stimulation was controversial. Balder catheterization was a last resort option. Penile sheaths were better than urethral catheterization if there were no post-voiding residual urines.
  
  
  CONCLUSIONS
  Palliative options have a limited efficacy but are mini-invasive and might be helpful complementary options.
authors.affiliation: Service d'urologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. Electronic address: souhil.lebdai@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Lebdai
authors.affiliation: Service d'urologie, CHU Cochin, 75014 Paris, France.
authors.forename: N B
authors.initials: NB
authors.lastname: Delongchamps
authors.affiliation: Service d'urologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: A R
authors.initials: AR
authors.lastname: Azzouzi
authors.affiliation: Service d'urologie, hôpital Bichat-Claude-Bernard, groupe des hôpitaux universitaires Paris-Nord-Val-de-Seine, université Denis-Diderot, Paris-VII, 75018 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Benchikh
authors.affiliation: Service d'urologie, CHU Mondor, 75000 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Campeggi
authors.affiliation: Service d'urologie, hôpital Tenon, université Paris-VI, 75020 Paris, France.
authors.forename: J-N
authors.initials: JN
authors.lastname: Cornu
authors.affiliation: Service d'urologie, clinique Turin, 75008 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Dumonceau
authors.affiliation: Clinique mutualiste Beausoleil, 34070 Montpellier, France.
authors.forename: A
authors.initials: A
authors.lastname: Faix
authors.affiliation: Service d'urologie, centre hospitalier Aix-en-Provence, 13616 Aix-en-Provence, France.
authors.forename: M
authors.initials: M
authors.lastname: Fourmarier
authors.affiliation: Service d'urologie, CHU de Tours, 37044 Tours, France.
authors.forename: O
authors.initials: O
authors.lastname: Haillot
authors.affiliation: Service d'urologie, clinique Turin, 75008 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Lukacs
authors.affiliation: Service d'urologie, hôpital Pontchaillou, CHU de Rennes, 35000 Rennes, France.
authors.forename: R
authors.initials: R
authors.lastname: Mathieu
authors.affiliation: Service d'urologie, clinique Pasteur, 31300 Toulouse, France.
authors.forename: V
authors.initials: V
authors.lastname: Misrai
authors.affiliation: Service d'urologie, université Bordeaux Segalen, CHU de Bordeaux, 33076 Bordeaux, France.
authors.forename: G
authors.initials: G
authors.lastname: Robert
authors.affiliation: Service d'urologie, CHU Mondor, 75000 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: de La Taille
authors.affiliation: Service de chirurgie urologique, CHU de Limoges, 87042 Limoges, France.
authors.forename: A
authors.initials: A
authors.lastname: Descazeaud
mesh_terms: D005602:France; D006801:Humans; D008297:Male; D012955:Societies, Medical; D014549:Urinary Incontinence / Q000628:therapy*; D014572:Urology
keywords: Absorbant products; Biofeedback; Incontinence; Incontinence urinaire non neurologique; Life style; Male stress urinary incontinence; Mesures hygiéno-diététiques; Mâle; Pelvic floor training; Penile clamp; Pinces à verge; Produits absorbants; Rééducation pelvi-périnéale; Traitement palliatif