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Melbourne Bladder Clinic
Bladder control and general urology

Male Stress Urinary Incontinence

06-Mar-2012 02:46 PM

What is Male Stress Urinary Incontinence?

Men who leak urine when they are doing activities that increase intra-abdominal pressure (eg. laughing, sneezing, lifting heavy objects) are said to have stress urinary incontinence. The sphincter, which acts as a tap for the bladder, is usually damaged as a result of prostate surgery.

What other problems can occur in these patients?

Bladder neck contracture:

Bladder dysfunction:

Incontinence during sexual activity:

How is a diagnosis of stress incontinence made?

What are the treatment options?

Conservative:

Surgery:

Continence can continue to improve up to one year after radical prostatectomy. Therefore, patients are often advised to wait till then before considering surgery. Men who have combined surgery and radiotherapy treatments, have an increased risk of complications from incontinence surgery.

1) Urethral bulking agents:

 
Cystoscopic view of urethra : before injection Cystoscopic view of urethra : after injection

2) Advance male sling:

Video : Advance Male Sling for Urinary Incontinence



3) Artificial urinary sphincter (AMS 800):


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