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Male Urinary Incontinence: Initial Management and Treatment Options

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Male Urinary Incontinence: Initial Management and Treatment Options

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Questions and Answers

What is the initial management of male urinary incontinence?

Bladder retraining only

Immediate surgical intervention

Basic diagnostic investigations and exclusion of reversible conditions (correct)

Prescription of antimuscarinic drugs

Which treatment option is supported by more recent literature to treat urge and stress incontinence?

Pelvic floor muscle training (PFMT) (correct)

Caffeine reduction

Weight loss

Cessation of smoking

What is uncertain about the long-term efficacy of pelvic floor muscle training (PFMT)?

Its long-term efficacy (correct)

Its effectiveness in preventing detrusor overactivity

Its role in the recovery of continence rate

Its success rate in the first year postoperative

When is the use of an antimuscarinic drug considered useful in male urinary incontinence?

Only for patients with mixed incontinence Signup and view all the answers

What is the recommended course of action for patients with persistent post-prostatectomy stress urinary incontinence (SUI)?

Surgical treatment after failure of conservative measures Signup and view all the answers

When is the most significant improvement in stress urinary incontinence (SUI) usually observed?

During the first year postoperative Signup and view all the answers

Which type of sling is recommended for men with mild-to-moderate SUI without prior radiotherapy?

Virtue sling Signup and view all the answers

What is the standard of care in men with moderate-to-severe SUI and/or SUI associated with radiotherapy?

AMS 800 (AUS) Signup and view all the answers

What is the theoretical advantage of adjustable male slings over non-adjustable slings?

Easy revision for further urethral compression Signup and view all the answers

What is the mainstay of treatment for urge urinary incontinence (UUI)?

Antimuscarinic agents Signup and view all the answers

What are the common adverse effects related to antimuscarinic agents used in UUI treatment?

Dry mouth, blurred vision, tachycardia Signup and view all the answers

What is the potential effect of beta-3 adrenoceptor agonists on the cardiovascular system?

Increased cardiovascular events Signup and view all the answers

What is considered a third-line therapy in overactive bladder (OAB)?

Intravesical botulinum toxin Signup and view all the answers