Prostate Surgery Incontinence
Pelvic floor muscle exercises
It is the first line management.
Pharmacologic Management
Urgency urinary incontinence
Should be treated as mentioned in overactive bladder section.
Bulking Agents:
Maybe used only for patients with mild incontinence.
Male Slings
May be considered as a treatment option for mild to moderate stress urinary incontinence.
Male slings will not be considered in patients with severe stress incontinence.
Men with previous radiotherapy or urethral stricture surgery may have less benefit from male slings.
Artificial Urinary Sphincter
Will be considered for patients with bothersome stress urinary incontinence.
A single cuff perineal approach is preferred.
Mechanical failure is common with the AUS.
Rate of explantation because of infection or erosion is high.
Chronic Urinary Retention
Is defined as post void residue of >300 mL that has persisted for at least six months.
Can cause overflow incontinence.
If there is a treatable cause, cause should be treated.
Patient might need clean intermittent catheterization.
Bethanechol, a cholinergic agonist, is not recommended.