[Urinary incontinence after radical prostatectomy. Neurophysiological and urodynamic diagnosis]. 2011

Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
Servizio di Neuro Urologia ed Urodinamica, Clinica Urologica, Università di Catania, Italy. bventim@tin.it

OBJECTIVE Urinary incontinence after radical prostatectomy presents different clinical features. We propose to clarify the etiology and the therapeutic approaches. METHODS 51 patients with urinary incontinence after radical prostatectomy underwent urodynamics, perineal EMG, perineal EMG frequency analysis and study of computerized sensory pudendal somatosensory evoked potentials. RESULTS 18 patients (35%) were suffering from urinary incontinence secondary to overactive bladder, 14 patients (28%) had both an overactive bladder and a sphincter failure associated with Wallerian degenerative axonal neuropathy or segmental demyelination, 3 patients (6%) showed no significant urodynamics alterations but had signs of an incompetent sphincter neurapraxia, while 16 patients (31%) had urinary incontinence secondary to a degenerative neuropathy. CONCLUSIONS Urinary incontinence after radical prostatectomy shows an etiologic diversification and therefore requires different therapeutic approaches

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011468 Prostatectomy Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE). Prostatectomy, Retropubic,Prostatectomy, Suprapubic,Prostatectomies,Prostatectomies, Retropubic,Prostatectomies, Suprapubic,Retropubic Prostatectomies,Retropubic Prostatectomy,Suprapubic Prostatectomies,Suprapubic Prostatectomy
D011471 Prostatic Neoplasms Tumors or cancer of the PROSTATE. Cancer of Prostate,Prostate Cancer,Cancer of the Prostate,Neoplasms, Prostate,Neoplasms, Prostatic,Prostate Neoplasms,Prostatic Cancer,Cancer, Prostate,Cancer, Prostatic,Cancers, Prostate,Cancers, Prostatic,Neoplasm, Prostate,Neoplasm, Prostatic,Prostate Cancers,Prostate Neoplasm,Prostatic Cancers,Prostatic Neoplasm
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D001750 Urinary Bladder, Neurogenic Dysfunction of the URINARY BLADDER due to disease of the central or peripheral nervous system pathways involved in the control of URINATION. This is often associated with SPINAL CORD DISEASES, but may also be caused by BRAIN DISEASES or PERIPHERAL NERVE DISEASES. Bladder Disorder, Neurogenic,Neurogenic Bladder,Bladder Neurogenesis,Bladder, Neurogenic,Neurogenic Bladder Disorder,Neurogenic Bladder, Atonic,Neurogenic Bladder, Spastic,Neurogenic Bladder, Uninhibited,Neurogenic Dysfunction of the Urinary Bladder,Neurogenic Urinary Bladder Disorder,Neurogenic Urinary Bladder, Atonic,Neurogenic Urinary Bladder, Spastic,Neurogenic Urinary Bladder, Uninhibited,Neuropathic Bladder,Urinary Bladder Disorder, Neurogenic,Urinary Bladder Neurogenesis,Urinary Bladder Neurogenic Dysfunction,Atonic Neurogenic Bladder,Neurogenesis, Bladder,Neurogenesis, Urinary Bladder,Neurogenic Bladder Disorders,Neurogenic Urinary Bladder,Spastic Neurogenic Bladder,Uninhibited Neurogenic Bladder
D003711 Demyelinating Diseases Diseases characterized by loss or dysfunction of myelin in the central or peripheral nervous system. Clinically Isolated CNS Demyelinating Syndrome,Clinically Isolated Syndrome, CNS Demyelinating,Demyelinating Disorders,Demyelination,Demyelinating Disease,Demyelinating Disorder,Demyelinations
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

Related Publications

Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
January 2006, Neurourology and urodynamics,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
February 2000, Seminars in urologic oncology,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
September 2009, Der Urologe. Ausg. A,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
December 1996, Acta urologica Belgica,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
January 2015, Urologia,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
January 2014, Urologia internationalis,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
July 2018, Archivos espanoles de urologia,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
January 1999, Reviews in urology,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
November 1994, Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society,
Bernardo Ventimiglia, and Andreas Tsirgiotis, and Irene Fanzone, and Tiziana Coco, and Salvatore Privitera
December 2009, Archivos espanoles de urologia,
Copied contents to your clipboard!