Behandlung der männlichen Harninkontinenz

Leicht, W.; Thüroff, Joachim W.

doi:10.1007/s00120-012-2820-y

Cited by 4 publications

(1 citation statement)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most investigated device is the AMS800 (Boston Scientific, Marlborough, Massachusetts, USA). Its predecessor has been introduced in 1972 (68) and is available in the current shape since 1982 (69). The continence rate of the AUS are reported between 61 and 100% (70) and in a long-term analysis with a mean of 15 years, the continence rate was still 77.2%.…”

Section: Circumferential Compressive Devicesmentioning

confidence: 99%

Current Management of Post-radical Prostatectomy Urinary Incontinence

et al. 2021

View full text Add to dashboard Cite

Prostate cancer is the second most common cancer in men worldwide. Radical prostatectomy and radiation beam therapy are the most common treatment options for localized prostate cancer and have different associated complications. The etiology of post prostatectomy incontinence is multifactorial. There is evidence in the literature that anatomic support and pelvic innervation are important factors in the etiology of post-prostatectomy incontinence. Among the many surgical and technical factors proposed in the literature, extensive dissection during surgery, damage to the neurovascular bundle and the development of postoperative fibrosis have a substantial negative impact on the continence status of men undergoing RP. Sparing of the bladder neck and anterior, and possibly posterior, fixation of the bladder-urethra anastomosis are associated with better continence rates. Overactive bladder syndrome (OAB) is multifactorial and the exact role of prostate surgery in the development of OAB is still under debate. There are several variables that could contribute to detrusor overactivity. Detrusor overactivity in patients after radical prostatectomy has been mainly attributed to a partial denervation of the bladder during surgery. However, together with bladder denervation, other hypotheses, such as the urethrovesical mechanism, have been described. Although there is conflicting evidence regarding the importance of conservative treatment after post-prostatectomy urinary incontinence, pelvic floor muscle training (PFMT) is still considered as the first treatment choice. Duloxetin, either alone or in combination with PFMT, may hasten recovery of urinary incontinence but is often associated with severe gastrointestinal and central nervous side effects. However, neither PFMT nor duloxetine may cure male stress urinary incontinence. The therapeutic decision and the chosen treatment option must be individualized for each patient according to clinical and social factors. During the recent years, the development of new therapeutic choices such as male sling techniques provided a more acceptable management pathway for less severe forms of urinary incontinence related to radical prostatectomy. Following this perspective, technological improvements and the emergence of new dedicated devices currently create the premises for a continuously positive evolution of clinical outcomes in this particular category of patients.

show abstract

Section: Circumferential Compressive Devicesmentioning

confidence: 99%

Current Management of Post-radical Prostatectomy Urinary Incontinence

et al. 2021

View full text Add to dashboard Cite

show abstract

Management of Male Voiding Dysfunction after Radical Cystectomy and Neobladder Reconstruction

Hautmann¹

2012

Curr Bladder Dysfunct Rep

View full text Add to dashboard Cite

Development and future prospects of the artificial urinary sphincter

et al. 2023

View full text Add to dashboard Cite

BackgroundUrinary incontinence is a urinary disorder in which urine leaks out involuntarily. This disorder seriously affects the quality of life of patients. For patients with mild incontinence, conservative treatment and medication may be the ideal treatment modality, but for patients with severe incontinence, an artificial urinary sphincter is currently a better treatment option.MethodsIn order to design an ideal artificial urinary sphincter, this article first searched and collected literature based on Preferred Reporting Items for Systematic Reviews and Meta‐Analyses searched strategy by selecting specific subject terms and reviewed the artificial urinary sphincters that are currently in the research stage based on different activation methods.ResultsIn response to the deficiencies of the existing artificial urinary sphincter, this article discusses the future optimization of the artificial urinary sphincter from three aspects: individual improvement of the artificial urinary sphincter, engineering design elements, and optimization of the artificial urinary sphincter manufacturing process.ConclusionsThe manufacture of an idealized artificial urinary sphincter capable of meeting clinical needs is of great importance to improve the quality of life of patients. However, this approach is a reasonable option to explore and should not be overestimated until further evidence is available.

show abstract

Behandlung der männlichen Harninkontinenz

Cited by 4 publications

References 37 publications

Current Management of Post-radical Prostatectomy Urinary Incontinence

Current Management of Post-radical Prostatectomy Urinary Incontinence

Management of Male Voiding Dysfunction after Radical Cystectomy and Neobladder Reconstruction

Development and future prospects of the artificial urinary sphincter

Contact Info

Product

Resources

About