Page 9 - Current and New Solutions in Management of Incontinence Post Prostatectomy: A Multidisciplinary Approach
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Etiology of IPT (Incontinence after Prostate Treatment)
Post Radical Prostatectomy
Largely SUI driven by anatomic and nerve changes from surgery
Rhabdosphincter incompetence alone sole cause of SUI in 40-92% of cases
Large fraction (>90%) recover 6-12 months
5-50% remain incontinent (depending on definition; MD vs self reported)
Post Radiation Therapy
Leads to long term tissue damage, inflammation
Higher rates of DO (detrusor activity) 78% vs 38%
UI after RT without surgery, investigate DO
Post Surgery for BPH
Transient SUI in between 30-40% of men, declines to <0.5% longer term
Das AK, Kucherov V, Glick L, Chung P. Male urinary incontinence after
DE
prostate disease treatment. Can J Urol. 2020;27(S3):36-43.
