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Therapeutics
Randomised controlled trial
Behavioural therapy is more effective than delayed treatment for persistent postprostatectomy incontinence
  1. Christine Norton
  1. Bucks New University & Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Christine Norton
    Nursing Directorate, St Mary's Hospital, Praed Street, London W2 1NY, UK; christine.norton2{at}imperial.nhs.uk

https://doi.org/10.1136/ebm1415

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    Commentary on: Goode PS, Burgio KL, Johnson TM 2nd., et al. Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence: a randomized controlled trial. JAMA 2011;305:151–9.OpenUrlCrossRefPubMed

    Context

    Prostate cancer is the most common cancer among men, with a lifetime risk of one in six. Urinary incontinence (UI) is reported to affect 2–57% of men after radical prostatectomy.1 Patients report much higher rates of UI than doctors. The wide variation in rates may relate to different definitions of incontinence, different surgical techniques and different time points for measurement. Rates of UI are possibly higher and take longer time to resolve with advancing age. Adjuvant radiotherapy does not seem to affect long-term UI. The prevalence tends to decrease with time, probably with a peak 1–2 years after surgery.1 There …

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    Footnotes

    • Competing interests None.