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 are few studies that have followed men beyond 2 years. Incontinence affects quality of life and return to normal activities. It is common to offer behavioural interventions, but evidence for efficacy is inconclusive.2 Evidence for additional benefit from techniques such as...
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