Treatment of Urinary Incontinence after Radical Prostatectomy

, Seung Hoon Lee; , Jang Hwan Kim

Review Article

The Korean Journal of Urological Oncology 2007;5(1):16-22.
Published online April 30, 2007.

근치적 전립선적출술 후 발생한 요실금의 치료

이승훈, 김장환

연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소

Treatment of Urinary Incontinence after Radical Prostatectomy

Seung Hoon Lee , Jang Hwan Kim

Department of Urology & Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea

Correspondence: Jang Hwan Kim

Abstract

Urinary incontinence is a significant complication following radical prostatectomy. Conservative treatments such as pelvic floor muscle exercise and pharmacologic therapy aim for early restoration of the pelvic floor and bladder function. Surgical treatment is advisable when significant and bothersome stress urinary incontinence persists even after 6 to 12 months of conservative treatment. Implantation of the artificial urinary sphincter is still the gold standard but still has significant complication and revision rates. Recently, new surgical techniques and materials are emerging aiming for those patients with less severe incontinence whom artificial urinary sphincter seem either too costly or invasive. This article summarize the latest issues in the treatment of urinary incontinence following radical prostatectomy. (Korean J Urol Oncol 2007;5:16-22)

Key Words: Incontinence, Radical prostatectomy, Surgery