Via practica 5/2020

Urinary incontinence after prostate surgery

Urinary incontinence (UI) is a spontaneous, involuntary leak (loss) of urine. Urinary incontinence adversely affects health related quality of life and is associated with significant psychosexual and financial burden. There are several types of UI: urgent (UUI), stress (SUI), mixed (MUI), ischuria paradoxa and the like. UI is often a complication following prostate surgery, such as radical prostatectomy (RAPE) or transurethral resection of prostate (TURP). The etiology of postprostatectomy UI (PPUI) can be multifactorial. This article briefly summarizes current diagnostic and treatment strategies for male PPUI. PPUI is one of the few urologic diseases that is iatrogenic, and therefore predictable and perhaps preventable.

Keywords: postprostatectomy urinary incontinence, etiology, diagnosis, treatment