患者报告的尿失禁情况（第三方访谈）：新加坡人耻骨后根治性前列腺切除术后的结果
Patient-reported urinary continence (third-party interview): results of post-radical retropubic prostatectomy in Singaporeans.
作者信息
Rao Jaideepraj, Koay Siew Khim, Lau Weber Kam On, Cheng Christopher Wai Sam
机构信息
Department of General Surgery, Tan Tock Seng Hospital, Singapore.
出版信息
Asian J Surg. 2005 Jul;28(3):207-10. doi: 10.1016/S1015-9584(09)60345-6.
OBJECTIVE
To determine the patient-reported urinary continence rate after retropubic radical prostatectomy (RRP) for prostate carcinoma through a third-party interview and to grade the severity of incontinence.
METHODS
Between 1997 and 1999, 34 patients were evaluated through an independent third party about the degree of continence as well as the quality of life after RRP. Patients were interviewed either in person or over the telephone. Urinary continence was defined as wearing no diapers, pads or tissue paper.
RESULTS
Of the 34 patients, 44% achieved immediate continence. Urinary incontinence gradually improved with time after surgery and 82% (n = 28) were fully continent at 12 months. Using the quality-of-life index, 91% of patients characterized their urinary incontinence as not or minimally bothersome. There was no significant difference between urologist- and patient-reported continence rates after RRP.
CONCLUSION
Based on our grading system, urinary continence gradually improved with time and was 82% at 1 year.
目的
通过第三方访谈确定前列腺癌耻骨后根治性前列腺切除术（RRP）后患者报告的尿失禁发生率，并对尿失禁的严重程度进行分级。
方法
在1997年至1999年间，通过独立第三方对34例患者进行RRP术后的尿失禁程度及生活质量评估。患者通过面对面或电话接受访谈。尿失禁定义为不使用尿布、尿垫或卫生纸。
结果
34例患者中，44%实现了即时控尿。术后尿失禁随时间逐渐改善，82%（n = 28）在12个月时完全控尿。使用生活质量指数，91%的患者将其尿失禁描述为无或极少困扰。RRP术后泌尿科医生报告的和患者报告的控尿率之间无显著差异。
结论
基于我们的分级系统，尿失禁随时间逐渐改善，1年时为82%。
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