Bladder training in patients with urinary incontinence in prostatic post-adenomectomy and TURP

A potential complication of prostatic adenomectomy and TURP is urinary incontinence. The incidence of this problem ranges from 0.1 to 1%. Experience in 15 patients who were incontinent 10 to 24 months after prostatectomy is reviewed. These patients were treated by bladder training. Patients were initially evaluated for type and extent of incontinence. Perineal exercise was taught in detail, tested for correct use via simultaneous and abdominal examination. Patients were evaluated weekly for compliance. No pharmaceutical agents were used. All 15 patients improved in number of incontinence episodes; 5 patients achieved total continence, while only one showed a little change. It is concluded that patients who are incontinent after prostatectomy may improve with a careful behavioural training programme.