Urinary Incontinence: Conservative and Medical Management and Injectable Therapy

Postprostatectomy incontinence is a common complication after radical prostatectomy with a significant effect on quality of life. Conservative management is first-line therapy in the management of persistent leakage post catheter removal. Absorbent pads, which are available in a multitude of forms and sizes, are the primary tool of urinary containment. Penile compression devices can be used independently and as an adjunct to reduce daily absorbent product usage. Catheters-condom and urethral-have applications in patients with high volume pad usage who may be suffering from skin excoriation, dermatitis and cellulitis due to urinary leakage. Behavioral therapy includes pelvic floor muscle training, biofeedback, electrical stimulation, and lifestyle modifications. Expectant management, reserving the option for future invasive interventions, is always a viable option. Injectable therapy is a minimally invasive option for incontinence secondary to male intrinsic sphincter deficiency. Success of this treatment has been limited to those with mild incontinence without history of radiation.