Surgery for stress urinary incontinence due to presumed sphincter deficiency after prostate surgery
Cochrane Database of Systematic Reviews, 2011
Surgery for stress urinary incontinence due to presumed sphincter deficiency after prostate surgery - The Cochrane Library - Silva - Wiley Online Library from LOGIN Enter e-mail address Enter password REMEMBER ME > > > > DATABASE TOOLS DATABASE MENU FIND ARTICLES OTHER RESOURCES Intervention Review You have full text access to this content Surgery for stress urinary incontinence due to presumed sphincter deficiency after prostate surgery Laercio A Silva 1,* , Régis B Andriolo 2 , Álvaro N Atallah 3 , Edina MK da Silva 4 Editorial Group: Published Online: 13 APR 2011 Assessed as up-to-date: 27 JUN 2010 DOI: 10.1002/14651858.CD008306.pub2 Copyright © 2011 The Cochrane Collaboration.
Publication History Publication Status: New Published Online: 13 APR 2011 SEARCH ARTICLE TOOLS Abstract Abstract Background Incontinence after prostatectomy for benign or malignant disease is a well known and often a feared outcome.
Although small degrees of incidental incontinence may go virtually unnoticed, larger degrees of incontinence can have a major impact on a man's quality of life.
Conceptually, postprostatectomy incontinence may be caused by sphincter malfunction and/or bladder dysfunction.
The majority of men with post-prostatectomy incontinence (60 to 100%) have stress urinary incontinence, which is the complaint of involuntary urinary leakage on effort or exertion, or on sneezing or coughing.
This may be due to intrinsic sphincter deficiency and may be treated with surgery for optimal management of incontinence.
Objectives To determine the effects of surgical treatment for urinary incontinence related to presumed sphincter deficiency after prostate surgery for either benign LUTS secondary to BPH (transurethral resection of prostate (TURP), photo vaporization of the prostate, laser enucleation of the prostate and open prostatectomy) or radical prostatectomy for prostate cancer (retropubic, perineal, laparoscopic, or robotic).
Search methods We searched the Cochrane Incontinence Group Specialised Register (searched 28 June 2010), MEDLINE (January 1966 to January 2010), EMBASE (January 1988 to January 2010), LILACS (January 1982 to January 2010) and the reference lists of relevant articles, handsearched conference proceedings and contacted investigators to locate studies.
Selection criteria Randomised or quasi-randomised trials that include surgical treatments of urinary incontinence after prostate surgery.
Data collection and analysis Two authors independently screened the trials identified, appraised quality of papers and extracted data.
Men were divided in two subgroups (minimal or total incontinence) and each group was randomized to artificial urethral sphincter (AUS) implantation or Macroplastique injection.