Medicus, Vol. 24 No. 1 Urologija, 2015.
Pregledni rad
Urinary Incontinence in Men and Guidelines for Treatment
Mirko Bakula
Tomislav Kuliš
Sandra Nađ Škegro
Željko Kaštelan
Sažetak
Urinary incontinence (UI) is the involuntary loss of urine. It affects men and women of all ages; patients feel shame and embarrassment, it changes their lifestyle and deteriorates quality of life. In women it is twice as common as in men. UI is usually associated with female urogynecologic diseases. Research on male incontinence is scarce. Prevalence of male UI rises with age. The risk factors for male UI, in addition to old age, are: lower urinary tract symptoms (LUTS), urinary tract infections, functional and cognitive impairment, and neurological impairment. Last but not least, risk factors for UI in male population include benign and malignant prostatic diseases and their treatment. Radical prostatectomy as a common operative procedure is connected with male UI. UI is a major burden for patients, physicians and the whole healthcare system. According to US studies, total cost of UI treatment in men in the USA adds up to 3.8 billion dollars per annum. In Germany, total cost (direct and indirect) of UI treatment in men and women in 2002 was 3.97 billion euros. It is certain that the problem of UI needs a holistic approach. Detailed patient history is essential, as well as physical examination and recommended diagnostics in order to create the best conservative, pharmacological and surgical treatment strategy, which would be optimal for both the patient and the healthcare system.
Ključne riječi
urinary incontinence; surgical therapy; conservative therapy; prostate surgery
Hrčak ID:
144609
URI
Datum izdavanja:
8.9.2015.
Posjeta: 5.687 *