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< Vol. 78 Issue 2 | Apr-Jun 2011 | pp. 75 - 147

Urinary incontinence after radical prostatectomy. Neurophysiological and urodynamic diagnosis

L’incontinenza urinaria dopo prostatectomia radicale.Diagnosi urodinamica e neurofisiologica

Abstract

Objectives. 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.

Urologia 2011; 78(2): 82 - 85

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/RU.2011.7975

Authors

Bernardo Ventimiglia, Andreas Tsirgiotis, Irene Fanzone, Tiziana Coco, Salvatore Privitera

Article History

  • • Accepted on 03/12/2010
  • • Available online on 28/04/2011
  • • Published in print on 09/06/2011

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Authors

  • Ventimiglia, Bernardo [PubMed] [Google Scholar]
    Servizio di Neuro Urologia ed Urodinamica, Clinica Urologica, Università di Catania - Italy
  • Tsirgiotis, Andreas [PubMed] [Google Scholar]
    Servizio di Neuro Urologia ed Urodinamica, Clinica Urologica, Università di Catania - Italy
  • Fanzone, Irene [PubMed] [Google Scholar]
    Servizio di Neuro Urologia ed Urodinamica, Clinica Urologica, Università di Catania - Italy
  • Coco, Tiziana [PubMed] [Google Scholar]
    Servizio di Neuro Urologia ed Urodinamica, Clinica Urologica, Università di Catania - Italy
  • Privitera, Salvatore [PubMed] [Google Scholar]
    Servizio di Neuro Urologia ed Urodinamica, Clinica Urologica, Università di Catania - Italy

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