Location:Room 14c (ICM, Level 1)
Incontinence after radiotherapy or failed artificial sphincter can be a real challenge. Refractory stress incontinence, OAB symptoms will need an appropriate approach.
And how do we deal with complex prolapse problems, now that the use of meshes has been banned? This session will tackle some difficult but very relevant questions in the field of functional urology.
Radiotherapy may be used as an oncological treatment dedicated to urological malignancies (prostate, urethra, bladder) or colorectal malignancies (rectal cancer). The side effects on urethral and/or bladder function are unpredictible and may be of high level of quality of life and continence impairment.
Management of incontinence after radiation therapy must check bladder alteration first. None stress urinary treatment may be done without the best control (information at least) of the bladder compliance and capacity. A review of the best combination will be done.
In this presentation, the indications for bladder neck closure in adults and adolescents will be presented and some points of technique will be discussed. Also, attention will be given to patient counselling and expected outcomes.
This is an evidence based approach for the management of urinary incontinence after prostatic surgery for malignant disease. At the end the audience will get data addressing the rates for urinary complications after the different surgical options for prostate cancer and how to avoid, prevent and deal with them. New technologies will be updated and also procedures that did not stand the prove of time will be discussed.