A SYSTEMATIC REVIEW OF ANALYZING THE EFFECTIVENESS OF SURGICAL INTERVENTIONS FOR PROSTATECTOMY-RELATED URINARY INCONTINENCE
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Keywords
Prostatectomy, urinary incontinence, Artificial Urinary Sphincter, male slings, urethral bulking agents, Adjustable Continence Therapy, surgical interventions
Abstract
Background: Prostatectomy-related urinary incontinence (UI) is a common and debilitating complication following radical prostatectomy, significantly impacting patient quality of life.
Methodology: This systematic review aims to assess the effectiveness of various surgical interventions for managing prostatectomy-related UI, including Artificial Urinary Sphincter (AUS), male slings, urethral bulking agents, and Adjustable Continence Therapy (ACT). Nine genuine studies from 2014 to 2024 were selected based on their high-quality evidence, examining the outcomes, safety profiles, and patient satisfaction associated with these surgical options.
Results: The review found that AUS provides the highest rates of continence recovery but carries higher risks of complications such as mechanical failure and infection. Male slings, particularly robotic-assisted techniques, demonstrated good continence outcomes with fewer complications, offering a viable alternative for patients unfit for more invasive surgery. Urethral bulking agents and ACT, though less effective, are still considered in cases where other surgeries are unsuitable. The variability in study design and follow-up times underlines the need for further research to refine treatment selection and standardize outcome measures.
Conclusion: This review concludes that while AUS remains the gold standard for treating post-prostatectomy UI, male slings and newer, less invasive techniques offer promising alternatives. Further studies are needed to explore long-term outcomes, patient-reported experiences, and the cost-effectiveness of each intervention, contributing to a more tailored and effective treatment approach.
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Akashnath Kivalur Ganeshanath
NHS Wales, United Kingdom
Sarwat Ali Raja
Yashfeen College of Pharmacy & Allied Health Sciences, Pakistan
Razia Virk
Assistant Professor, Department of Biosciences, University of Wah, Pakistan
Laraib Ali
Shifa International Hospital, Islamabad Pakistan
Adnan Manzoor
Department of General Medicine Unit B, Saidu Group of Teaching Hospitals, Swat Pakistan
Rana Anees Ur Rehman
Shifa International Hospital, Islamabad Pakistan
Muhammad Omer Khan
Royal College of Surgeons in Ireland
Charles J Cheng
Royal College of Surgeons in Ireland
Afzaal Ajmal
Royal College of Surgeons in Ireland
Ashtar Kariem
Trainee Physician, SGH, Dubai, UAE