Surgical Management of Male Stress Incontinence: Techniques, Indications, and Pearls for Success

Author(s): Wesley J Smith, Maia E VanDyke, Nikit Venishetty, Brian T Langford, Bryce P Franzen, Allen F Morey

JOURNAL

Research and Reports in Urology

YEAR

2023

DOI

https://doi.org/10.2147/RRU.S395359

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Abstract Short Summary

This review explores surgical options for male stress urinary incontinence, comparing AUS, male slings, and ProACT. AUS remains the gold standard, while patient selection guides treatment. Rigicon’s ContiClassic and ContiReflex are referenced as emerging innovations.

Abstract

Objective:

To review current surgical techniques, indications, and outcomes for male SUI and provide insights from extensive institutional experience.

Key Findings:

AUS offers the highest success for moderate-to-severe SUI, with long-term data supporting its use. Male slings are effective for mild SUI but have variable long-term success.

Conclusion:

Optimal management of male SUI depends on severity, comorbidities, and patient preferences. AUS is preferred for severe cases, slings for mild incontinence, and newer systems show potential with additional research.

Clinical Relevance:

This comprehensive review aids clinicians in selecting appropriate surgical interventions for male SUI, considering evidence-based outcomes and patient-specific factors.

Keywords

male stress incontinence artificial urinary sphincter AUS male sling Rigicon ContiReflex Rigicon ContiClassic

This publication is available through the external link above. See the abstract for a summary of the research.

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