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Open Access 01-09-2019 | Stress Incontinence | Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)

Management of Incontinence After Orthotopic Bladder Substitution Post-Radical Cystectomy

Authors: Marc P. Schneider, Fiona C. Burkhard

Published in: Current Bladder Dysfunction Reports | Issue 3/2019

Abstract

Purpose of Review

Incontinence after orthotopic bladder substitution (OBS) post-radical cystectomy can be devastating for the patient and its treatment a challenge for the physician. The aim of this narrative review was to summarize the available evidence on treatment options for incontinence after OBS and to facilitate deciding on treatment strategies.

Recent Findings

Despite good continence rates after OBS, incontinence remains an issue and treatment poses a challenge for which limited evidence exists.

Summary

Treatment of incontinence therapy after orthotopic bladder substitution (OBS) post-radical cystectomy currently remains a challenge with limited evidence to aid treatment decisions. After a sound patient assessment and exclusion of anatomical or underlying problems, conservative management including pelvic floor muscle training is generally considered the first line of therapy. Drugs can be used as second-line therapy in specific cases, before refraining to third-line surgical options.

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Title: Management of Incontinence After Orthotopic Bladder Substitution Post-Radical Cystectomy
Authors: Marc P. Schneider
Fiona C. Burkhard
Publication date: 01-09-2019
Publisher: Springer US
Keywords: Stress Incontinence
Cystectomy
Overflow Incontinence
Published in: Current Bladder Dysfunction Reports / Issue 3/2019
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-019-00517-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Management of Incontinence After Orthotopic Bladder Substitution Post-Radical Cystectomy

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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