%0 Journal Article
%T Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes
%A Landon Trost
%A Daniel S. Elliott
%J Advances in Urology
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/287489
%X Introduction and Objective. Iatrogenic male stress urinary incontinence (SUI) affects a percentage of men undergoing urologic procedures with a significant impact on quality of life. The treatment of male SUI has evolved significantly with multiple current options for treatment available. The current paper discusses preoperative evaluation of male SUI, available surgical options with reported outcomes, and postoperative complication management. Methods. A pubMed review of available literature was performed and summarized on articles reporting outcomes of placement of the artificial urinary sphincter (AUS) or male slings including the bone anchored sling (BAS), retrourethral transobturator sling (RTS), adjustable retropubic sling (ARS), and quadratic sling. Results. Reported rates of success (variably defined) for BAS, RTS, ARS, and AUS are 36每67%, 9每79%, 13每100%, and 59每91% respectively. Complications reported include infection, erosion, retention, explantation, and transient pain. Male slings are more commonly performed in cases of low-to-moderate SUI with decreasing success with higher degrees of preoperative incontinence. Conclusions. An increasing number of options continue to be developed for the management of male SUI. While the AUS remains the gold-standard therapy for SUI, male sling placement is a proven viable alternative therapy for low-to-moderate SUI. 1. Introduction Urinary incontinence is estimated to affect 12每17% of US males, with increasing prevalence associated with aging [1, 2]. Stress urinary incontinence (SUI) as a subtype has been defined by the International Continence Society as the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing [3]. Although any surgical or radiotherapeutic manipulation of the external urinary sphincter may result in SUI, radical prostatectomy (RP), transurethral resection of the prostate (TURP), and radiation therapy are most commonly associated with RP accounting for the majority of iatrogenic etiologies. The true prevalence of SUI following RP is unknown with widely varying estimates reported from 2 to 43%, which is likely reflective of differing surgical techniques, methodology, definitions, and followup performed, among others [4每9]. External beam radiation therapy and TURP are less commonly associated with SUI, with reported outcomes ranging from 1 to 16% and 1 to 3%, respectively [10每12]. Given that prostate cancer is the most commonly diagnosed malignancy in US males, the true scope and impact of iatrogenic male SUI on quality of life (QOL) is likely significant. The
%U http://www.hindawi.com/journals/au/2012/287489/