Taking the Stress out of Male Incontinence: Pathophysiology, Diagnosis, and Treatment

Stress urinary incontinence (SUI) in men is a debilitating condition and often can be the result of prostate surgery, in particular from a radical prostatectomy (open, laparoscopic or robotically assisted). With on average 10% of all patients post prostatectomy still experiencing stress incontinence by 12 months, and the ever-increasing incidence of prostate cancer worldwide, this has become a significantly worsening issue that urologists, nurses and advanced care practitioners are faced with.

Yet despite the rising incidence and morbidity, seen both in primary care, muti-disciplinary teams within hospitals, as well as increasing numbers of dedicated teaching courses on this matter, this topic remains poorly taught within the medical field overall and knowledge is often limited to a small group of specialists within each region.

This book is aimed at all doctors, students, and allied health care professionals with an interest in male incontinence and will provide a concise, yet comprehensive, overview in the field of incontinence surgery in men, and can also be used in adjunct to any teaching courses offered on male SUI. This book aims to be the most up-to-date gold standard reference book for male SUI. 

This book will initially lay the foundation for knowledge by going through the pathophysiology, diagnostics and anatomy of male incontinence. This will be enhanced by hand drawn pictures of the relevant regions of interest to aid in learning.  

After building this base of knowledge, the book will move into diagnostics, patient selection and treatment (both surgical and non-surgical). 

Each chapter will be written by healthcare professionals who are world leaders within each field, uniquely will contain their “top tips and tricks” from their extensive experience within male SUI and will have key points in addition to MCQ Flashcards to help aid in learning.

Bob Yang, FRCS (Urol) was appointed a Consultant Urologist at the Royal Berkshire Hospital and

specialises in female, incontinence and infective/immunological urology. He carried out his surgical and specialist urological training in the Oxford and Wessex deanery within the hospitals of Oxfordshire, Berkshire, Buckinghamshire, Hampshire and Wiltshire. Prior to this, he graduated with first-class honours, five distinctions and three academic prizes from Imperial College London, UK.

 

One of his major contributions to the field of urology lies in his pioneering research on treatments in incontinence surgery and non-antibiotic prophylaxis for urinary tract infections. His ground-breaking work has garnered national research prizes and presentation awards, which underscore his expertise and unwavering commitment to advancing knowledge in urology.

 

He has an established scientific standing having published in multiple academic papers including the

New England Journal of Medicine and is an invited reviewer for the British Journal of Urology International and the Journal of Clinical Urology. He is the course director for the American Urological Association conference on male incontinence. 

Susan MacDonald, MD is currently an Associate Professor of Urology at the Penn State Health Milton S. Hershey Medical Center. She completed her medical degree at the University of Florida in her home state and completed her Urologic residency at Albert Einstein College of Medicine in Bronx, New York. She then pursued a fellowship at Wake Forest University in reconstructive urology, learning specialized techniques in urethral reconstruction, prosthetic urology, graft and flap creation, and microsurgical dissection.  

She has a particular interest in prostate cancer survivorship treating the ensuing erectile dysfunction, and stress urinary incontinence. Additionally, she is passionate about Peyronie’s disease, chronic orchalgia/CPPS, and DEI/Women in Urology.

Outside her clinical practice, resident education is the main focus of her career; she recently became the assistant program director for the urologic residency at Penn State.