Urinary Incontinence After Robot-Assisted Radical Prostatectomy

Urinary incontinence following radical prostatectomy continues to be a significant problem despite improving surgical techniques. Robotic surgical techniques have the potential to improve urinary outcome measures even more than their open predecessors. Improved visualization and precision of dissection with robotic technology offer a truly anatomic approach. The purpose of this chapter is to summarize the status of urinary outcomes following robotic-assisted laparoscopic radical prostatectomy as well as to review current therapies used in the treatment of post-prostatectomy urinary incontinence. We also discuss the etiology of post-prostatectomy urinary incontinence, contributing risk factors, and the evaluation for incontinence in consideration of potential surgical interventions.