URINARY INCONTINENCE IN MEN


Cite item

Full Text

Abstract

The article presents a comprehensive overview of the current literature on urinary incontinence in men. Data for various forms of urinary incontinence, including those arising after the surgery for prostate diseases, as well as information concerning diagnosis and treatment are evaluated and presented. Features of the nervous regulation of urination and the role of denervation processes in pelvic organs in the formation of urinary incontinence are described in detail. The article also presents own authors clinical material (n = 14) for features of diagnostics of neurogenic component of incontinence. Normative reference for the electromyographic activity of pelvic floor muscles and the corticospinal tract conductivity is developed in the group of healthy volunteers (n = 14). Significant denervation-reinnervation changes in pelvic floor, characterized by elongation of central motor conduction time, presence of positive sharp waves and fibrillation potentials, and polyphasy of action potentials of muscle units, are revealed in all patients. The identified changes are taken into account in the choice of treatment strategy; drugs that enhance trophic nutrition and conductivity of nerve tissue, as well as extracorporeal magnetic stimulation of the muscles of the perineum were used.

References

  1. Хирургия предстательной железы / Под ред. С.Б. Петрова. СПб., 2004. 270 с.
  2. Мазо Е.Б., Кривобородов Г.Г. Гиперактивный мочевой пузырь. М., 2003. 160 с.
  3. Мазо Е.Б. Касаткина Л.Ф. и др. // Урология 2006. № 1. С. 43-7.
  4. Пушкарь Д.Ю., Гумин Л.М. Уродинамические исследования у женщин. М., 2006. 136 с.
  5. Нейроурология / Под ред. В.Н. Крупина, А.Н. Белова. М., 2005.464 с.
  6. Allen D. Seftel Male and female sexual dysfunction. UK, Elsevier 2004:294.
  7. Borland RN, Walsh PC. The management of rectal injury during radical retropubic prostatectomy. J Urol 1992;147(3 Pt 2);905-7.
  8. Shafik A, Doss S. Surgical anatomy of the somatic terminal innervation to the anal and urethral sphincters: role in anal and urethral surgery. J Urol 1999;161:85-9.
  9. Жуков О.Б. Диагностика эректильной дисфункции. Клиническое руководство. М., 2008. 184 с.
  10. Шахов Б.Е. Крупин В.Н. Диагностика эректильной дисфункции. Ниж. Нов., 2009. 188 с.
  11. Swash M, Snooks SJ, Henry MM. Unifying concept of pelvic floor disorders and incontinence. J R Soc Med 1985;30:906-11.
  12. Ripert T. Transrectal high-intensity focused ultrasound (HIFU) treatment of localized prostate cancer: review of technical incidents and morbidity after 5 years of use. Prostate cancer Prostatic Dis 2010;13(2):132-37.
  13. Sampselle CM, Palmer MH, Boyington AR, O'Dell KK, Wooldridge L. Prevention of urinary incontinence in adults: population-based strategies. Nurs Res 2004;53(6):61-7.
  14. Abrams P, et al. The standardisation of terminology of lower urinary tract function. 2002.
  15. Лопаткин Н. Клинические рекомендации. Урология. М., 2007.
  16. Аляев Ю., Григорян В., Гаджиева З. Расстройства мочеиспускания. М., 2006.
  17. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the standardization subcommittee of the international continence society. Am J Obstet Gynecol 2002;187:116-26.
  18. Sotiropoulos A, Yeaw S, Lattimer JK. Management of urinary incontinence with electronic stimulation: observations and results. J Urol 1976;116:747-50.
  19. Boy S, Reitz A, Wirth B, et al. Facilitatory neuromodulative effect of duloxetine on pudendal motor neurons controlling the urethral pressure: a functional urodynamic study in healthy women. Eur Urol 2006;50:119-25.
  20. Zahariou A, Papaioannou P, Kalogirou G. Is HCl duloxetine effective in the management of urinary stress incontinence after radical prostatectomy? Urol Int 2006;77:9-12.
  21. Schlenker B, Gratzke C, Reich O, et al. Preliminary results on the off-label use of duloxetine for the treatment of stress incontinence after radical prostatectomy or cystectomy. Eur Urol 2006;49:1075-78.
  22. Stenberg A, Larsson E, Lindholm A, et al. Injectable dextranomer-based implant: histopathology, volume changes, and DNA-analysis. Scand J Urol Nephrol 1999;33:355-61.
  23. Stenberg AM, Sundin A, Larsson BS, et al. Lack of distant migration after injection of a 125iodine-labeled dextranomer based implant into the rabbit bladder. J Urol 1997;158:1937-41.
  24. Mitterberger M, Marksteiner R, Margreiter E, et al. Myoblast and fibroblast therapy for post-prostatectomy urinary incontinence: 1-year follow-up of 63 patients. J Urol 2008;179:226-31.
  25. Madjar S, Jacoby K, Giberti C, et al. Bone anchored sling for the treatment of post-prostatectomy incontinence. J Urol 2001;165:72-6.
  26. Rajpurkar AD, Onur R, Singla A. Patient satisfaction and clinical efficacy of the new perineal bone-anchored male sling. Eur Urol 2005;47:237-42.
  27. Sousa-Escandón A, Cabrera J, Mantovani F, et al. Adjustable suburethral sling (male REMEEX system®) in the treatment of male stress urinary incontinence: a multicentric European study. Eur Urol 2007;52:1473-80.
  28. Campos-Fernandes JL, Timsit MO, Paparel P, et al. REMEEX: a possible treatment option in selected cases of sphincter incompetence [in French]. Prog Urol 2006;16:184-91.
  29. Hubner WA, Schlarp OM. Adjustable continence therapy (ProACT™): evolution of the surgical technique and comparison of the original 50 patients with the most recent 50 patients at a single centre. Eur Urol 2007;52:680-86.
  30. Gregori A, Simonato A, Lissiani A, et al. Transrectal ultrasound-guided implantation of the proact adjustable continence therapy system in patients with post-radical prostatectomy stress urinary incontinence: a pilot study. J Urol 2006;176:2109-13.
  31. Sotelo TM, Westney OL. Outcomes related to placing an artificial urinary sphincter using a single-incision, transverse-scrotal technique in high-risk patients. BJU Int 2008;101:1124-27.
  32. Trigo Rocha F, Gomes CM, Mitre AI, et al. 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;71:85-9.
  33. O'Connor RC, Nanigian DK, Patel BN, et al. Artificial urinary sphincter placement in elderly men. Urology 2007;69:126-28.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2012 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies