Published in:
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
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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.