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

Affiliations
  • 1Choi's SS Clinic, Seoul, Korea. ssclinic@nate.com
  • 2Department of Anatomy, Yonsei University College of Medicine, Seoul, Korea.

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

  • Fig. 1 Endpoint-results.


Reference

1. Thüroff JW, Abrams P, Andersson KE, Artibani W, Chapple CR, Drake MJ, et al. EAU guidelines on urinary incontinence. Eur Urol. 2011; 59:387–400.
Article
2. Shamliyan TA, Wyman JF, Ping R, Wilt TJ, Kane RL. Male urinary incontinence: prevalence, risk factors, and preventive interventions. Rev Urol. 2009; 11:145–165.
3. Penson DF, McLerran D, Feng Z, Li L, Albertsen PC, Gilliland FD, et al. 5-year urinary and sexual outcomes after radical prostatectomy: results from the prostate cancer outcomes study. J Urol. 2005; 173:1701–1705.
Article
4. Ficarra V, Novara G, Rosen RC, Artibani W, Carroll PR, Costello A, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol. 2012; 62:405–417.
Article
5. Loughlin KR, Prasad MM. Post-prostatectomy urinary incontinence: a confluence of 3 factors. J Urol. 2010; 183:871–877.
Article
6. van der Poel HG, Tillier C, de Blok WM, Acar C, van Muilekom EH, van den Bergh RC. Interview-based versus questionnaire-based quality of life outcomes before and after prostatectomy. J Endourol. 2013; 27:1411–1416.
Article
7. Lee SR, Kim HW, Lee JW, Jeong WJ, Rha KH, Kim JH. Discrepancies in perception of urinary incontinence between patient and physician after robotic radical prostatectomy. Yonsei Med J. 2010; 51:883–887.
Article
8. Ahlering TE, Gordon A, Morales B, Skarecky DW. Preserving continence during robotic prostatectomy. Curr Urol Rep. 2013; 14:52–58.
Article
9. Trigo Rocha F, Gomes CM, Mitre AI, Arap S, Srougi M. A prospective study evaluating the efficacy of the artificial sphincter AMS 800 for the treatment of postradical prostatectomy urinary incontinence and the correlation between preoperative urodynamic and surgical outcomes. Urology. 2008; 71:85–89.
Article
10. Hussain M, Greenwell TJ, Venn SN, Mundy AR. The current role of the artificial urinary sphincter for the treatment of urinary incontinence. J Urol. 2005; 174:418–424.
Article
11. Walsh PC, Marschke P, Ricker D, Burnett AL. Patient-reported urinary continence and sexual function after anatomic radical prostatectomy. Urology. 2000; 55:58–61.
Article
12. Kundu SD, Roehl KA, Eggener SE, Antenor JA, Han M, Catalona WJ. Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies. J Urol. 2004; 172:2227–2231.
Article
13. Kojima Y, Takahashi N, Haga N, Nomiya M, Yanagida T, Ishibashi K, et al. Urinary incontinence after robot-assisted radical prostatectomy: pathophysiology and intraoperative techniques to improve surgical outcome. Int J Urol. 2013; 20:1052–1063.
Article
14. Moore K, Allen M, Voaklander DC. Pad tests and self-reports of continence in men awaiting radical prostatectomy: establishing baseline norms for males. Neurourol Urodyn. 2004; 23:623–626.
Article
15. Hammerer P, Huland H. Urodynamic evaluation of changes in urinary control after radical retropubic prostatectomy. J Urol. 1997; 157:233–236.
Article
16. Myers RP, Goellner JR, Cahill DR. Prostate shape, external striated urethral sphincter and radical prostatectomy: the apical dissection. J Urol. 1987; 138:543–550.
Article
17. Dubbelman YD, Groen J, Wildhagen MF, Rikken B, Bosch JL. Urodynamic quantification of decrease in sphincter function after radical prostatectomy: relation to postoperative continence status and the effect of intensive pelvic floor muscle exercises. Neurourol Urodyn. 2012; 31:646–651.
Article
18. Holm HV, Fosså SD, Hedlund H, Schultz A, Dahl AA. Severe postprostatectomy incontinence: is there an association between preoperative urodynamic findings and outcome of incontinence surgery? Scand J Urol. 2015; 49:250–259.
Article
19. Hoyland K, Vasdev N, Abrof A, Boustead G. Post-radical prostatectomy incontinence: etiology and prevention. Rev Urol. 2014; 16:181–188.
20. Walsh PC, Partin AW, Epstein JI. Cancer control and quality of life following anatomical radical retropubic prostatectomy: results at 10 years. J Urol. 1994; 152:1831–1836.
Article
21. Steiner MS, Morton RA, Walsh PC. Impact of anatomical radical prostatectomy on urinary continence. J Urol. 1991; 145:512–514.
Article
22. Holm HV, Fosså SD, Hedlund H, Schultz A, Dahl AA. How should continence and incontinence after radical prostatectomy be evaluated? A prospective study of patient ratings and changes with time. J Urol. 2014; 192:1155–1161.
Article
23. Bauer RM, Gozzi C, Hübner W, Nitti VW, Novara G, Peterson A, et al. Contemporary management of postprostatectomy incontinence. Eur Urol. 2011; 59:985–996.
Article
24. Goode PS, Burgio KL, Johnson TM 2nd, Clay OJ, Roth DL, Markland AD, et al. Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence: a randomized controlled trial. JAMA. 2011; 305:151–159.
25. Gousse AE, Madjar S, Lambert MM, Fishman IJ. Artificial urinary sphincter for post-radical prostatectomy urinary incontinence: long-term subjective results. J Urol. 2001; 166:1755–1758.
Article
26. Kim SP, Sarmast Z, Daignault S, Faerber GJ, McGuire EJ, Latini JM. Long-term durability and functional outcomes among patients with artificial urinary sphincters: a 10-year retrospective review from the University of Michigan. J Urol. 2008; 179:1912–1916.
Article
27. Berry J. New procedure for correction of urinary incontinence: a preliminary report. J Urol. 1961; 85:771–775.
28. Kaufman JJ. Urethral compression operations for the treatment of post-prostatectomy incontinence. J Urol. 1973; 110:93–96.
Article
29. Schaeffer AJ, Clemens JQ, Ferrari M, Stamey TA. The male bulbourethral sling procedure for post-radical prostatectomy incontinence. J Urol. 1998; 159:1510–1515.
Article
30. Lightner D, Calvosa C, Andersen R, Klimberg I, Brito CG, Snyder J, et al. A new injectable bulking agent for treatment of stress urinary incontinence: results of a multicenter, randomized, controlled, double-blind study of Durasphere. Urology. 2001; 58:12–15.
Article
Full Text Links
  • WJMH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr