Male Urinary Incontinence: Assessment and Management

Urinary incontinence (UI) in men is far less common than it is in women. There is a direct reverse in the frequency of type of UI in men as compared with women, with urgency UI being most common, followed by mixed UI and then stress UI being least frequent. Urgency UI in men is largely managed in similar fashion as it is in women, with conservative measures, behavioural modification, oral pharmacotherapy, intravesical therapies and electrical stimulation techniques. SUI in men is mainly related to iatrogenic injury particularly following radical prostatectomy. With the increasing trend in the early diagnosis of prostate cancer and its surgical management, stress UI is being encountered with increasing frequency despite refinements in surgical techniques associated with newer technology. In this chapter, we discuss how UI is assessed and managed in men with a particular focus on Stress UI after prostatectomy.