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Medicina Fluminensis, Vol. 61 No. 4, 2025.

Review article

https://doi.org/10.21860/medflum2025_336641

Urinary Incontinence After Radical Prostatectomy

Ivan Marin Sušanj ; Department of Urology, Clinical Hospital Centre Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
Iva Bukša orcid id orcid.org/0009-0007-5344-7964 ; Department of Urology, Clinical Hospital Centre Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia *
Ivan Vukelić ; Department of Urology, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Dean Markić ; Department of Urology, Clinical Hospital Centre Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
Josip Španjol ; Department of Urology, Clinical Hospital Centre Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
Antun Gršković ; Department of Urology, Clinical Hospital Centre Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia

* Corresponding author.

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Abstract

Urinary incontinence remains a frequent complication after radical prostatectomy, with significant implications for patients’ physical health, emotional well-being, and social quality of life. Postprostatectomy incontinence manifests as stress urinary incontinence,typically resulting from injury to the external urethral sphincter and its supporting structures. Contributing factors include patient age, baseline urinary function, surgical technique, and anatomical variations. Management options range from conservative measures such as pelvic floor muscle training, pharmacotherapy, and lifestyle adjustments to surgical interventions, including male slings and artificial urinary sphincters for persistent or severe cases. Although advances in surgical technique and perioperative care have improved continence outcomes, postprostatectomy urinary incontinence remains a significant challenge, underscoring the need for personalized treatment approaches and continued research into preventive strategies.

Keywords

prostatectomy; quality of life; suburethral slings; urinary incontinence

Hrčak ID:

336641

URI

https://hrcak.srce.hr/336641

Publication date:

1.12.2025.

Article data in other languages: croatian

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