Re: PVP and incontinence



Pete,

Of course the internal sphincter contributes to continence, but the
vast majority of patients are continent when they rely on their
external sphincter. TUIP uses electrical current that can damage the
external sphincteric inervation. Cutting the bladder neck usually does
not cause incontinence, neither does TURP, except in a limited number
of patients.

Maybe the reason is that the electrical current used damaged somehow
your external sphincter's ability to hold urine, maybe the muscle tone
in your sphincter is not able to hold urine, maybe you experiment
involunctary bladder contractions that overcome the sphincter
pressure... It is difficult to know what causes this incontinence in
your specific case.

Bests,

Fernando Gómez Sancha
http://drgomezsancha2.blogspot.com

.