Outcomes Following Localized Prostate Cancer Treatment

To the Editor In a recent article that compared adverse outcomes of localized prostate cancer treatment modalities, persistent urinary incontinence after radical prostatectomy was highlighted as a significant difference compared with other therapeutic options. However, the authors overlooked the existence of safe and effective curative options for postprostatectomy incontinence management. When pelvic floor muscle training after prostatic surgery is ineffective for postprostatectomy incontinence, various surgical options such as the artificial urinary sphincter or minimally invasive alternatives such as periurethral balloons or male slings are available and recommended for management by multiple guidelines. The failure of this study to include these options could potentially hinder data analysis and interpretation in several ways.
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research