Via practica 3/2019
Stress urinary incontinence in men
Stress urinary incontinence (SUI) is a spontaneous, involuntary leak (loss) of urine resulting from a sudden increase in intraabdominal pressure during certain activities (coughing, sneezing, running, jumping, transferring from chair to bed in paralysed patients, sexual activity, exercise etc.). The involuntary loss of urine occurs even though the bladder is stable (noncontracting). Urinary incontinence in men adversely affects their health-related quality of life and is associated with significant psychosexual and financial burden. The most common pathophysiology behind SUI in men relates to underlying dysfunction of the urethral sphincter complex and/or change in urethral axis. SUI is often a complication following prostate surgery, such as radical prostatectomy (RAPE) or transurethral resection of prostate (TURP). Other causes of male SUI are iatrogenic sphincter injury (e.g. sphincterotomy in spinal disorder patients), neurological conditions or trauma to the pelvic floor, etc. This article briefly summarizes current diagnostic and treatment strategies for male SUI.
Keywords: stress urinary incontinence in men, etiology, diagnosis, treatment
