Most aspects of surgical therapy for stress urinary incontinence (SUI) after radical prostatectomy (RP) are under debate or poorly studied. A systematic review was conducted and a literature search was carried out through PubMed database for articles on the surgical procedures for male SUI after RP published from Jan 2010 to Nov 2016. The efficacy results (pad count, 24 h pad test), complications, and quality of life (QoL) were reported. The included studies were categorized in accordance with the IDEAL framework of surgical innovation. Only Stage 0-2 IDEAL studies were revealed by systematic review of the literature. Randomized and long-term trials are missing. The current evidence on male SUI therapy is low. IDEAL-conform evaluation of new therapies should be applied in the future.
Updates in surgery. 2017 May 06 [Epub ahead of print]
Dimitri Barski, Holger Gerullis, Thomas Otto
Department of Urology, Lukas Hospital Neuss, Preussenstreet 84, 41464, Neuss, Germany. ., Klinikum Oldenburg, School of Medicine and Health Sciences, University Hospital for Urology, Carl von Ossietzky University Oldenburg, Rahel-Straus-Street 10, 26133, Oldenburg, Germany., Department of Urology, Lukas Hospital Neuss, Preussenstreet 84, 41464, Neuss, Germany.