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Therapy May Help Cut Incontinence After Prostate Surgery
Date:1/11/2011

ctor of surgical quality and outcomes at Vanderbilt University in Nashville, Tenn. "I don't think the bang is worth the buck."

"For men with a little bit of post-prostatectomy incontinence, behavioral therapy isn't a bad option if you're averse to having another surgery," said Penson, who authored an editorial on the study in the same issue of the journal. "Behavioral therapy works, but don't expect too much."

For many men, he added, an even better option might be to wait to have surgery and monitor this often slow-growing cancer through PSA, or prostate-specific antigen, test surveillance. PSA testing measures the level in the blood of this protein, which is considered a biological marker of prostate cancer.

"Can't we consider the idea of watching these patients for a bit?" Penson asked. "An ounce of prevention is worth a pound of cure."

More information

The U.S. National Cancer Institute has more about treating prostate cancer.

SOURCES: Patricia S. Goode, M.D., Gwen McWhorter endowed professor of geriatric medicine, University of Alabama at Birmingham, and associate director, clinical programs, VA Birmingham/Atlanta Geriatric Research, Education and Clinical Center; David Penson, M.D., M.P.H., professor, urological surgery, director, surgical quality and outcomes, department of urological surgery, Vanderbilt University, and staff physician, VA Tennessee Valley Geriatric Research, Education and Clinical Center, Nashville, Tenn.; Jan. 12, 2011, Journal of the American Medical Association


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