Post‐prostatectomy incontinence: Part I. The urodynamic findings in 107 Men

A retrospective review of 107 men referred for evaluation of post‐prostatectomy incontinence (71 post radical retropubic prostatectomy, 26 post transurethral resection of the prostate, and 10 post open prostatectomy) was conducted. After in‐depth urodynamic studies, only 40 men (37%) were found to have sphincteric insufficiency alone, 36 men (34%) had sphincteric insufficiency combined with high pressure bladder dysfunction (detrusor instability and/or decreased compliance), and 21 men (20%) had bladder dysfunction alone as the sole cause of post‐prostatectomy incontinence. Ten patients (9%) had normal urodynamic studies. The role of bladder dysfunction as a causative factor in post‐prostatectomy incontinence is strongly emphasized.