Tip:
Highlight text to annotate it
X
Hello there my name is Antoine Kass i'm one of the urology clinical research fellows,
I work at the University College Hospital in London, I am trying to make a series of
videos to talk about the problem of urinary incontinence or leakage of urine after prostate
surgery. This is a devastating problem that affects men after their surgery. The surgery
is usually performed to remove the prostate gland because of prostate cancer with the
aim of curing patients, however, during the process of performing the surgery some damage
can happen to the sphincter muscle which is the muscle that lies just below the prostate,
and that damage can result in a weakness of the muscle, so after the operation, patients
start to notice leakage of urine whenever the pressure inside the abdomen increases,
for instance when patients stand up, bend down, cough or sneeze, or even walk about
they notice that they are leaking urine, and this becomes gradually a distressing problem
because it does limit patients' activities and they start to become very worried about
the embarrassment that the leakage causes them, and some of them avoid socialising and
become isolated and withdrawn and a great proportion develop eventually a clinical depression.
Now, as horrible as this sounds, the good news is that there are too many treatment
options and also there are too many incontinence products in the market that help patients
at least cope with this problem. These products include things like, briefly like pads, ***
clamps, *** sheaths or *** sheaths etc and too many other options which I will talk
about in future videos, and then we go into the treatment options and these include the
conservative options like pelvic floor exercises, biofeedback training, bladder training, pelvic
muscle electrical stimulation and then the surgical treatment options and these include
the male sling and the artificial urinary sphincter, which is the topic of a randomised
controlled trial we are running at the university college hospital to compare these two treatments,
and that was actually the trigger for me doing these videos because I see too many patients
in the recruitment clinic as part of the trial who suffer from urinary incontinence and I
feel passionate about the subject because I see how much suffering and pain these patients
go through to deal with this problem. So the aim of the videos will be educational in the
first place to know what is available out there in the market to help cope with the
problem and then what are the treatment options and which option to choose based on the advantages
and disadvantages and also based on patients' fitness priorities and the degree of incontinence
which is of paramount importance, so stay tuned for my future videos and I hope that
they will be beneficial for patients who had the prostate surgery or for patients who are
unfortunate to be diagnosed with prostate cancer and who are considering prostate surgery,
so you know what to expect afterwards and what are the treatment options for the complications
that can result from having the surgery, thank you very much for watching this.