Male Urinary Incontinence: Initial Management and Treatment Options

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13 Questions

What is the initial management of male urinary incontinence?

Basic diagnostic investigations and exclusion of reversible conditions

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

Pelvic floor muscle training (PFMT)

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

Its long-term efficacy

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

Only for patients with mixed incontinence

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

Surgical treatment after failure of conservative measures

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

During the first year postoperative

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

Virtue sling

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

AMS 800 (AUS)

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

Easy revision for further urethral compression

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

Antimuscarinic agents

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

Dry mouth, blurred vision, tachycardia

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

Increased cardiovascular events

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

Intravesical botulinum toxin

Explore the initial management and treatment strategies for male urinary incontinence, focusing on basic diagnostic investigations, conservative non-invasive options, and lifestyle interventions. Learn about the role of pelvic floor muscle training, biofeedback, and bladder retraining in addressing male urinary incontinence.

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