PubMed:21553387 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/21553387","sourcedb":"PubMed","sourceid":"21553387","source_url":"http://www.ncbi.nlm.nih.gov/pubmed/21553387","text":"[Urinary incontinence after radical prostatectomy. Neurophysiological and urodynamic diagnosis].\nL’incontinenza urinaria dopo prostatectomia radicale. Diagnosi urodinamica e neurofisiologica.\nOBJECTIVES: Urinary incontinence after radical prostatectomy presents different clinical features. We propose to clarify the etiology and the therapeutic approaches.\nMETHODS: 51 patients with urinary incontinence after radical prostatectomy underwent urodynamics, perineal EMG, perineal EMG frequency analysis and study of computerized sensory pudendal somatosensory evoked potentials.\nRESULTS: 18 patients (35%) were suffering from urinary incontinence secondary to overactive bladder, 14 patients (28%) had both an overactive bladder and a sphincter failure associated with Wallerian degenerative axonal neuropathy or segmental demyelination, 3 patients (6%) showed no significant urodynamics alterations but had signs of an incompetent sphincter neurapraxia, while 16 patients (31%) had urinary incontinence secondary to a degenerative neuropathy.\nCONCLUSIONS: Urinary incontinence after radical prostatectomy shows an etiologic diversification and therefore requires different therapeutic 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