Belastungsinkontinenz nach operativer Therapie einer benignen Prostatahyperplasie: Konservative und operative Therapieoptionen

Abstract

Persistent stress urinary incontinence following surgical treatment of bladder outlet obstruction based on benign prostate enlargement (BPE) occurs at an incidence of approximately 2.2 %, although incidence rates vary significantly between different surgical options. Current evidence on SUI treatment of BPE patients is usually based on postprostatectomy incontinence patient cohorts or small subgroup analyses of greater patient collectives. Studies that focus on SUI after surgical treatment of BPE are still rare. Based on the current low-level evidence, it can be assumed that pelvic floor muscle training, implantation of an adjustable male sling system and implantation of an artificial urinary sphincter may be equally effective in PPI and post-BPE patients. The implantation of a retrourethral transobturator male sling, however, seems to provide lower success rates compared to PPI patients.

State of the art on stress incontinence management after benign prostatic obstruction surgery

“…The literature seems overall in accordance with the fact that AUS results in RP patients are comparable to those with SUI after BPO surgery [2]. However, data supporting this statement are overall weak and would need further dedicated evaluation [37]. Some current work such as prospective multicenter registries would give the opportunity to assess more clearly the results of AUS in specific populations, including post-BPO surgery [38].…”