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?

<p>Only for patients with mixed incontinence (A)</p> Signup and view all the answers

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

<p>Surgical treatment after failure of conservative measures (A)</p> Signup and view all the answers

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

<p>During the first year postoperative (C)</p> Signup and view all the answers

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

<p>Virtue sling (C)</p> 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?

<p>AMS 800 (AUS) (D)</p> Signup and view all the answers

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

<p>Easy revision for further urethral compression (A)</p> Signup and view all the answers

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

<p>Antimuscarinic agents (D)</p> Signup and view all the answers

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

<p>Dry mouth, blurred vision, tachycardia (A)</p> Signup and view all the answers

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

<p>Increased cardiovascular events (C)</p> Signup and view all the answers

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

<p>Intravesical botulinum toxin (B)</p> Signup and view all the answers

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