Review of surgical implant procedures for male incontinence after radical prostatectomy according to IDEAL framework

Updates Surg. 2017 Sep;69(3):327-338. doi: 10.1007/s13304-017-0460-x. Epub 2017 May 6.

Abstract

Most aspects of surgical therapy for stress urinary incontinence (SUI) after radical prostatectomy (RP) are under debate or poorly studied. A systematic review was conducted and a literature search was carried out through PubMed database for articles on the surgical procedures for male SUI after RP published from Jan 2010 to Nov 2016. The efficacy results (pad count, 24 h pad test), complications, and quality of life (QoL) were reported. The included studies were categorized in accordance with the IDEAL framework of surgical innovation. Only Stage 0-2 IDEAL studies were revealed by systematic review of the literature. Randomized and long-term trials are missing. The current evidence on male SUI therapy is low. IDEAL-conform evaluation of new therapies should be applied in the future.

Keywords: Artificial urinary sphincter; IDEAL; Implant; Male incontinence; Surgical innovation.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Humans
  • Male
  • Postoperative Complications / surgery*
  • Prostatectomy*
  • Suburethral Slings*
  • Treatment Outcome
  • Urinary Incontinence, Stress / etiology
  • Urinary Incontinence, Stress / surgery*
  • Urinary Sphincter, Artificial*