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**16** 

*Brazil* 

**Treatment of Post-Prostatic** 

*Rio de Janeiro State University, Rio de Janeiro,* 

**Surgery Stress Urinary Incontinence** 

José Anacleto Dutra de Resende Júnior, João Luiz Schiavini, Danilo Souza Lima da Costa Cruz, Renata Teles Buere,

*Department of Urology - Pedro Ernesto University Hospital (HUPE),* 

Ericka Kirsthine Valentin, Gisele Silva Ribeiro and Ronaldo Damião

There are few long-term medical conditions and non-fatal injuries that are so inconvenient as the urinary incontinence in its various degrees. This situation effect the social life and there are consequences for the economic impact of this clinical condition in patients and

The direct costs associated with urinary incontinence is related to aspects such as diagnostic tests, doctor visits, surgery, use of diapers, and others. Among the indirect costs can include the time available for patients and friends to care of incontinent patients, and the loss of productivity for the individual hours away at work. The worsening quality of life of the patient is considered an intangible cost, difficult to measure in monetary terms, but which

Among the various causes of urinary incontinence, sphincter incompetence is one of the most common (Mundy, 1991). Fortunately, most patients with sphincter incompetence have simple stress incontinence, which usually responds well to one of several procedures for suspension of the bladder neck or urethra. However, surgery does not work without implants as favorably for the treatment of severe urinary sphincter, where the loss of urethral support is irrelevant (Mundy, 1991). In these circumstances, the best form of treatment is still the deployment of devices performing a specific function that compensates constrictor malfunction of the urethral sphincter (Hussain et al. 2005; Mundy, 1991;

The initial treatment of urinary incontinence with urethral devices date from 1947, when Foley described the first artificial sphincter (Foley, 1947). According to its proposal, the penile urethra was exteriorized, involved with the foreskin and, after healing, the device was placed around the urethra. This device consisted of a tube connected to a syringe, the patient carried in his pocket, and when wanted to maintain continence, insert some fluid that would exert pressure through the syringe. Foley's method fell into disuse due to the

constitutes an integral aspect of urinary incontinence.

Schiavini et al. 2007; Vilar et al. , 2004).

high incidence of urethral injuries.

**1. Introduction** 

health services.

