Combination surgery for erectile dysfunction and male incontinence

Dominic Lee, O. Lenaine Westney, Run Wang

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

With favorable prognosis, radical therapy for pelvic malignancy no longer is just about oncological control, but is important in achieving the trifecta of oncological clearance with acceptable sexual function and urinary outcomes. As we face the prospect of escalating urogenital dysfunction following our radical interventions, we need to carefully assess these functional outcomes and their impact on the quality of life of our patients. In men, this includes urinary impairments with stress urinary incontinence, various types of voiding dysfunction, and sexual impairments (primarily erectile dysfunction and orgasmic dysfunction). Based on appropriate clinical and diagnostic assessments of severity of adverse outcomes depending on patient preference, combination surgery for treatment of erectile dysfunction and stress urinary incontinence is effective and durable and has an established, definitive role to address this not uncommon problem. This article reviews the prevalence of the problem, the available therapeutic options, and evidence of efficacy of these therapies in combination.

Original languageEnglish (US)
Pages (from-to)461-469
Number of pages9
JournalCurrent Urology Reports
Volume12
Issue number6
DOIs
StatePublished - Dec 2011

Keywords

  • ACT
  • Adjustable continence therapy
  • Artificial urinary sphincter
  • Erectile dysfunction
  • Male slings
  • OAB
  • Overactive bladder syndrome
  • Penile prosthesis
  • Periurethral bulking agents
  • SUI
  • Sacral neuromodulation
  • Stress urinary incontinence
  • UUI
  • Urge urinary incontinence

ASJC Scopus subject areas

  • Urology

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