근치적 전립선적출술 후 발생한 요실금의 치료

Abstract

Urinary incontinence is a significant complication following radical prostatectomy. Conservative treatments such as pelvic floor muscle exercise and pharmacologic therapy aim for early restoration of the pelvic floor and bladder function. Surgical treatment is advisable when significant and bothersome stress urinary incontinence persists even after 6 to 12 months of conservative treatment. Implantation of the artificial urinary sphincter is still the gold standard but still has significant complication and revision rates. Recently, new surgical techniques and materials are emerging aiming for those patients with less severe incontinence whom artificial urinary sphincter seem either too costly or invasive. This article summarize the latest issues in the treatment of urinary incontinence following radical prostatectomy.