Discussion
reduced incontinence, incontinence, ®, urinary incontinence, prostate, stress urinary incontinence, stress incontinence
SEMINAL VESICLES, INCONTINENCE, URINARY INCONTINENCE, PROSTATE, PAD, PENIS, STRESS URINARY INCONTINENCE, STRESS INCONTINENCE, PROSTATE CANCER, URETHRA
Radical prostatectomy is widely performed to treat localized prostate cancer. Radical prostatectomy is a surgical procedure in which the prostate and seminal vesicles are cut from the bladder neck and urethra and removed as a lump, and the cut bladder neck and urethra are anastomosed. Damage to the sphincter is inevitable during urethral transection. The symptoms of stress urinary incontinence are most severe immediately after surgery and tend to improve over time. It is difficult to expect further improvement after one year postoperatively, and severe urinary incontinence after radical prostatectomy is thought to occur in approximately 1% of cases. The incidence of stress incontinence after laparoscopic RARP, which has become widespread in recent years, is similar to that after RRP [In Japan, the awareness and usage of incontinence surgical clamps used for male stress urinary incontinence are extremely low, and the only therapeutic options are to undergo artificial urethral sphincter implantation and incontinence prevention surgery with unstable results or to use urine pads and diapers. For patients who are recovering from urinary continence after radical prostatectomy or who still suffer from urinary incontinence more than 1 year after surgery, incontinence surgical clamps could be a new therapeutic option.There are few reports of penile clamps in Japan; however, some cases have been reported overseas. A Canadian study compared the effectiveness of three types of penile clamps. The CLAMPMED® isoform significantly reduced incontinence in the 4-hour pad test (122.8 ± 130.8 vs. 32.3 ± 24.3 g) [However, in this study, CLAMPMED® reduced the number of pads but did not improve the QOL. The average Japanese penis size is 7.9 ± 2.0 cm around 70 years old, while the overseas average is around 15 cm [