Cochrane Summaries

Trusted evidence. Informed decisions. Better health.
Language:
English

Conservative management for men with urinary incontinence after prostate surgery

Campbell SE, Glazener CMA, Hunter KF, Cody JD, Moore KN
Published Online: 
18 January 2012

The prostate is a male sex gland that surrounds the outlet of the bladder. Two main diseases of the prostate (cancer of the prostate, and benign (non cancerous) prostatic enlargement) can be treated by surgery but some men suffer leakage of urine (urinary incontinence) afterwards. Conservative treatment of the leakage, such as pelvic floor muscle training with or without biofeedback or anal electrical stimulation are thought to help men control this leakage. The review of trials found that there was conflicting evidence about the benefit of therapists teaching men to contract their pelvic floor muscles for either prevention or treatment of urine leakage after radical prostate surgery for cancer. However, information from one large trial suggested that men do not benefit from seeing a therapist to receive pelvic floor muscle training after transurethral resection (TURP) for benign prostatic enlargement. Of three external compression devices tested, one penile clamp seemed to be better than the others but needs to be used cautiously because of safety risks. More research of better quality is needed to assess conservative management.