You DON’T have to live with urinary incontinence …
Managing Urinary Incontinence After
Prostate Cancer Surgery
Many men undergoing a radical prostatectomy for prostate cancer focus on erectile dysfunction as the major complication they face.
But in fact, following prostate surgery, men can confront another potentially more troubling complication: urinary incontinence. The incidence of serious incontinence at medical centers of excellence appears to be relatively low – in the 3 percent range. But if you look at overall national patient survey data, incontinence numbers are dramatically higher, in the range of 50 to 60 percent.
The good news is that most incontinence is temporary. However, for some men it persists – and will continue to persist unless you take the right steps to treat this condition, which if left untreated can lead to embarrassment and even social withdrawal.
Whether you are already experiencing incontinence symptoms — or you are a candidate for prostate cancer surgery and would like to take steps to reduce the risk of incontinence — this special health report provides the information you need.
Jacek Mostwin, M.D., D. Phil.(Oxon) is ideally positioned to write Managing Urinary Incontinence After Prostate Cancer Surgery. In addition to heading the Division of Reconstructive and Neurological Urology at Johns Hopkins Medicine, Dr. Mostwin has performed more than 3,000 radical prostatectomies and is an expert in bladder function in men and women.
From his extensive personal clinical experience, Dr. Mostwin understands firsthand the questions and concerns of patients just like you because he treats them every day in his practice.
Urinary Incontinence: Embarrassing and Life-Limiting
Although urinary incontinence is not a life-threatening problem, if left untreated it can become a life-limiting condition — one that affects quality of life and self-esteem. The stigma attached to wet clothing and offensive odor can have profound consequences, including an avoidance of everyday activities and encounters.
But you don’t have to live with urinary incontinence. As Dr. Mostwin explains, treatments are available that can dramatically improve bladder control.
In this new special health report, you’ll learn the components of the urinary system and how the bladder is affected by prostate cancer surgery. Dr. Mostwin also explains how choosing an experienced surgeon can markedly reduce the chances of severe incontinence occurring as a result of surgery.
You’ll also read about nonsurgical therapies for chronic mild to moderate urinary incontinence. Topics include:
- How to keep an intake and voiding diary to show your urologist
- Behavioral therapy for post prostatectomy incontinence, as explained by Dr. Patricia S. Goode, an incontinence specialist at the University of Alabama at Birmingham
- How to use Kegel exercises — before and after surgery – to target the right muscles for enhancing bladder control
- Choosing incontinence pads and diapers to provide comfort in public
- The injection of bulking substances such as collagen to improve resistance to outflow
For men with moderate stress urinary incontinence that hasn’t gotten better a year after surgery, it may be time to consider medical treatments. Dr. Mostwin discusses the AdVance sling, which works by repositioning the urethra and sphincter to their original anatomical position.
He also answers questions about the artificial urinary sphincter (AUS) for persistent and severe incontinence:
- When should a man consider having an AUS implanted?
- What can a patient expect during AUS implant surgery?
- What happens following the surgical implantation of an AUS?
- Is an AUS a lifetime implant and what happens if something goes wrong?
- What precautions should you take when you have an AUS?
What if you experience urinary urgency (overactive bladder) without full-blown incontinence? The special health report presents a multi-step bladder retraining program that offers effective strategies for treating the problem.
Dr. Mostwin also discusses medications that can be used in conjunction with bladder retraining to alleviate urinary symptoms — and explains sacral nerve stimulation with the FDA-approved InterStim device, which can be used to establish bladder control if behavioral therapy and medications aren’t sufficient.
University of California, Berkeley, School of Public Health
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