Editing Incontinence after Prostate Therapy (2024) (section)

====== Indications ======
*'''<span style="color:#ff0000">Consider for mild to severe SUI</span>'''
* '''<span style="color:#ff0000">Preferred in patients with prior (3):</span>'''
*# '''<span style="color:#ff0000">Radiation</span>'''
*#* Patients with IPT following primary, adjuvant or salvage RT should be offered the same conservative management as a patient with postprostatectomy SUI. Patients who fail conservative measures should be offered surgical management, preferably placement of AUS. 
*#* Radiated patients undergoing AUS placement should be counseled on potentially compromised functional outcomes and an increased risk of complications.
*#* '''Slings may be a potential option in some radiated patients but adjustable balloons are significantly less effective [different than 2019 guidelines which only supported AUS after radiation]'''
*# '''<span style="color:#ff0000">Urethral reconstruction</span>'''
*#* Urethral strictures of the anterior urethra and urethral stenosis of the posterior urethra can arise after RP, RT, or treatment for IPT. Urethral reconstructive surgery is often used to treat narrowing in the urethra.
*#* '''Male slings will not be effective given post-surgical changes related to most types of urethral reconstruction in the posterior and anterior urethra''' 
*#* '''Complications rates are higher'''
*#** Depending on the technique employed (urethra transecting or not) the blood supply to the urethra may be diminished and potentially decrease the life span of an AUS.
*# '''<span style="color:#ff0000">Vesicourethral anastomotic stenosis or bladder neck contracture</span>'''
*#* Decreased success rates when undergoing male slings