Michael Guralnick, MD, Associate Professor of Urology
and R. Corey O’Connor, MD, Associate Professor of Urology
Urinary incontinence is a well-recognized and potentially devastating complication of prostate cancer treatment (surgery, radiation) that can have a significantly negative impact on quality of life. Typically, incontinence is activity-related (e.g., stress urinary incontinence) and caused by injury/weakness of the urethral sphincter muscle. Fortunately, less than 10 percent of patients treated for prostate cancer have urinary incontinence significant enough to warrant aggressive medical or surgical therapy. Several treatment modalities exist to help patients with post-prostatectomy stress urinary incontinence, including physical therapy/behavior modification, duloxetine, urethral bulking, male slings and artificial urinary sphincters.