Urinary incontinence is a significant concern post-radical prostatectomy, a common treatment for prostate cancer. In this discussion, we delve into the nuances of urinary side effects associated with surgery and explore potential treatments.

Surgery vs. Radiation

Surgery and radiation, primary treatments for prostate cancer, yield distinct urinary side effects. Surprisingly, surgery-related effects tend to be more severe than those associated with radiation.

After the removal of the prostate in a radical prostatectomy, patients frequently encounter incontinence upon catheter removal. They must use diapers or pads until they regain control, a process that typically takes an average of two weeks to four months.

However, not everyone regains control, with 5-10% facing persistent bladder issues, a percentage that rises with age or pre-existing conditions.

Stress and Overt

Stress incontinence, prevalent in 50% of post-surgery cases, manifests during activities like laughing or coughing. Kegel exercises and anticholinergic drugs offer potential relief, though with associated side effects.

Overt incontinence, characterized by constant leaking, affects 30-40% of cases post-surgery. The importance of surgical quality, often keeping risks below 10%, highlights the significance of seeking skilled surgeons.

Sling Surgery vs. Artificial Sphincter

For overt incontinence, sling surgery or the use of an artificial sphincter is common. Sling surgery, recommended for minor incontinence issues, is less invasive, whereas an artificial sphincter is a more intricate procedure with a success rate of 80-85%.

Additional Urinary Side Impacts

Climacturia, the ejaculation of urine post-surgery, affects 20% of men. Addressing this concern may involve lifestyle adjustments or consulting with a physician for guidance.

Urethral strictures, although less common, pose a risk, with 2-4% of cases facing potential long-term consequences. Radical prostatectomy is specifically associated with these difficulties and is rarely linked to other prostate cancer treatments.

Understanding the intricacies of urinary incontinence post-radical prostatectomy is crucial for informed decision-making in prostate cancer treatment. For more detailed insights, please watch our informative video, and don’t forget to subscribe to our YouTube channel for future updates. Visit our website for additional resources.

Conclusion

Navigating post-radical prostatectomy urinary challenges requires informed choices and proactive measures. While incontinence is a potential concern, understanding the nuances and available treatments empowers individuals to make decisions aligned with their health goals. Seeking skilled surgeons, considering less invasive options like sling surgery, and addressing additional impacts like climacteric and urethral strictures contribute to a holistic approach. Stay informed, consult with healthcare professionals, and take charge of your post-surgery journey for optimal well-being. Check out our playlist.