World J Mens Health.  2016 Apr;34(1):34-39. 10.5534/wjmh.2016.34.1.34.

Urinary Incontinence Could Be Controlled by an Inflatable Penile Prosthesis

• Choi HM
• Choi HK
• Lee HY

• KMID: 2162601
• DOI: http://doi.org/10.5534/wjmh.2016.34.1.34

Abstract

PURPOSE
Due to the increasing numbers of radical prostatectomies (RP) performed for prostate cancer, a substantial and increasing number of patients suffer from postoperative urinary incontinence and erectile dysfunction (ED). The objective of our study was to see whether an inflatable penile prosthesis implantation could control urinary incontinence for patients with the dual problems of ED and incontinence.
MATERIALS AND METHODS
From March 2010 through May 2015, 25 post-RP patients were referred to our clinic with ED or incontinence. The degree of incontinence was classified according to the International Consultation on Incontinence Questionnaire-Short Form. Inflatable penile prostheses were implanted in all 25 patients.
RESULTS
For one month after implantation, partial or full inflation was performed progressively to control urine leakage. Of 18 patients, 13 patients were categorized with mild or moderate stress incontinence. All 13 patients obtained control of incontinence with partial inflation (30% to 60%) and all reported satisfactory outcomes. Five out of the 18 patients were categorized with severe total incontinence. Three of the 5 patients could tolerate incontinence with full inflation on and off. Thirteen patients out of the total of 18 (72.2%) had their incontinence controlled by an inflating penile prosthesis.
CONCLUSIONS
An inflatable penile prosthesis is highly recommended as an initial procedure, especially in patients with the dual problems of ED and incontinence.

Keyword

Erectile dysfunction; Penile prosthesis; Prostatectomy; Urinary incontinence

MeSH Terms

Erectile Dysfunction
Humans
Inflation, Economic
Male
Penile Implantation
Penile Prosthesis*
Prostatectomy
Prostatic Neoplasms
Urinary Incontinence*

Figure

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  Fig. 1 Endpoint-results.

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