Steiner M S
Department of Urology, University of Tennessee, Memphis, 956 Court Avenue, Room H216, Memphis, TN 38163, USA.
Curr Urol Rep. 2000 May;1(1):20-7. doi: 10.1007/s11934-000-0031-3.
The technique of continence-preserving anatomic radical retropubic prostatectomy focuses on the preservation of the anatomic components of the external striated urethral sphincteric (EUS) complex. Three steps comprise this procedure for improving urinary control: 1) preservation of the anterolateral fascial attachments of the EUS, 2) protection of the innervation and the posterior fascial attachments of the EUS, and 3) avoidance of urethrovesical anastomotic sutures at the 5 and 7 o'clock positions. Preserving the external striated urethral sphincter and its innervation by performing a continence-preserving anatomic retropubic prostatectomy fascilitates a shorter time period for achieving urinary continence.
保留控尿功能的耻骨后解剖性根治性前列腺切除术技术着重于保留尿道外横纹括约肌（EUS）复合体的解剖结构。该手术改善尿控功能包括三个步骤：1）保留EUS的前外侧筋膜附着；2）保护EUS的神经支配和后筋膜附着；3）避免在5点和7点位置进行尿道膀胱吻合缝合。通过保留尿道外横纹括约肌及其神经支配来实施保留控尿功能的耻骨后解剖性前列腺切除术，有助于缩短实现尿控的时间。
