AB036. Evolution and advances in the field of male urinary incontinence: a review of urological prosthesis surgery

Objective: To provide a review of the various advances in the development of male continence therapy.

Methods: A systematic literature search was conducted to identify published literature relevant to male continence treatment and urological prosthesis.

Results: Over the last decade, significant advances have been made in terms of designs and technology for male continence therapy. Over the last decade, synthetic slings for PPI have gained considerable popularity because of cost and its non-mechanical action, and has a role in mild to moderate stress incontinence. Artificial urinary sphincters and other urinary sphincteric-like devices remains the standard of care for severe incontinence, radiation-induced stress incontinence and in salvage surgery.

Conclusions: While the current urinary continence devices are largely effective in the carefully selected patient group, they treat the symptoms but do not address the underlying pathophysiology of stress incontinence. Until the emergence of a better engineered continence surgical device, and/or further success in stem cell or tissue engineering, significant challenges remain in the search for an ideal urinary continence device.

Keywords: Male stress urinary incontinence; male sling; artificial urinary sphincter; urological prosthesis; technological advances