Urethral Inserts for the Management of Adult Male Urinary Incontinence
| Autor: | Banerjee S, Frey N |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | 2021 Apr. |
| Abstrakt: | Urinary incontinence refers to the involuntary leakage of urine. 1 With increasing age, urinary incontinence can occur in both men and women, and affects the quality of life. This condition is associated with social and economic impacts. 2 For men aged more than 65 years, the prevalence of urinary incontinence has been reported to range between 11% and 34%. 1 The prevalence of incontinence increases with age. In Canada, according to a 2014 report, the estimates for the prevalence of incontinence in men were 6.4%, 11.6, and 18.7% in the age ranges 65 to 74 years, 75 to 84 years, and greater than 85 years, respectively. 3 There are various types of urinary incontinence; these include urge urinary incontinence, stress urinary incontinence, mixed incontinence (combination of urge urinary incontinence and stress urinary incontinence), overflow incontinence, post-void dribbling, functional incontinence, and incontinence after prostrate treatment. 1 Treatment and management options for urinary incontinence include pelvic floor muscle exercise, pharmacotherapy, urethral inserts, catheters, and surgical interventions. 1 – 3 Generally, if conservative treatments (such as exercises) are not effective, other less conservative treatment modalities may be considered. 3 Pharmacotherapy may be effective but may be associated with side effects. 1 , 3 Surgical interventions are invasive and may be associated with complications. 2 , 3 As urethral inserts may be less invasive, there is growing interest in this management option for controlling urinary incontinence. The Contino is an example of a self-administered urethral insert to control urinary incontinence in male adults. It is inserted into the distal portion of the male urethra, inhibiting the flow of urine, and can be removed before urination and reinserted after urination. 4 The Contino is made from medical-grade polymer and has been tested for biocompatibility. 4 The purpose of this report is to summarize the evidence regarding the clinical effectiveness and cost-effectiveness of male urethral inserts for the management of male urinary incontinence. (Copyright © 2021 Canadian Agency for Drugs and Technologies in Health.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|