Incontinence of urine affects up to 40% of the male population, with stress incontinence impacting less than 10% [1]. The aetiology of male stress urinary incontinence (SUI) is predominantly attributed to invasive surgical procedures. These include radical prostatectomy for prostate cancer and endoscopic procedures for bladder outflow obstruction surgery, such as transurethral resection of the prostate (TURP) and holmium laser enucleation of the prostate (HOLEP). Additionally, pelvic surgeries, such as abdominoperineal resection (APR) for bowel cancer, and treatments involving radiotherapy can adversely contribute to the development of this condition. Post-prostatectomy incontinence (PPI) is the most common cause of male SUI [3]. Physiologically, these interventions can cause dysfunction in bladder innervation and weaken the pelvic floor as a result of localised trauma, ultimately leading to stress-related urinary leakage [2].

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Patient Selection for Surgical Management of Male Stress Incontinence

  • Genevieve Harvey,
  • Omer Farooq Rehman,
  • Bob Yang

摘要

Incontinence of urine affects up to 40% of the male population, with stress incontinence impacting less than 10% [1]. The aetiology of male stress urinary incontinence (SUI) is predominantly attributed to invasive surgical procedures. These include radical prostatectomy for prostate cancer and endoscopic procedures for bladder outflow obstruction surgery, such as transurethral resection of the prostate (TURP) and holmium laser enucleation of the prostate (HOLEP). Additionally, pelvic surgeries, such as abdominoperineal resection (APR) for bowel cancer, and treatments involving radiotherapy can adversely contribute to the development of this condition. Post-prostatectomy incontinence (PPI) is the most common cause of male SUI [3]. Physiologically, these interventions can cause dysfunction in bladder innervation and weaken the pelvic floor as a result of localised trauma, ultimately leading to stress-related urinary leakage [2].