Male Stress Incontinence
Stress incontinence in men often occurs after prostatic surgery, especially radical prostatectomy. The incidence of significant incontinence is approximately 2 to 5 percent. Some patients also have components of bladder instability or poor compliance, which further complicates treatment. It’s important that these types of patients undergo formal urodynamic testing before considering invasive therapy. Periurethral bulkening agents, such as collagen, have not provided optimal long term results. Male slings are increasingly being used in select patients, but the majority of patients with significant stress incontinence will benefit from an artificial urinary sphincter. Dr. Das has experience with male slings and has also performed over 100 artificial urinary sphincter procedures with excellent long-term results.
