Journal de physiothérapie et de réadaptation physique

Conservative Treatment in Male Urinary Incontinence

Abstract

Ruth Kirschner Hermanns and Ralf Anding

Prevalence, pathophysiology, diagnostic and therapeutic approaches of urinary incontinence are well studied in women, however studies on male urinary incontinence focus on incontinence following surgery of the bladder or prostate, predominantly incontinence after radical prostatectomy. Aging men suffer from incontinence; most frequently urge incontinence (Overactive bladder) nearly as often as women do. The domain of conservative therapy of urinary stress incontinence in men is pelvic floor training. It remains unclear whether biofeedback procedures, electrostimulation therapy or magnetic stimulation therapy can enhance pelvic floor training. There are data suggesting that an off-label therapy with Duloxetin®, a selective Serotonin-Noradrenalin-Reuptake-Inhibitor (SSNRI), improves urinary incontinence following radical prostatectomy. Antimuscarinics in combination with bladder training have been proven as safe and effective treatment in male patients with OAB. Data, however, suggest that men with OAB are far less frequently treated than women.