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前列腺切除术后尿失禁治疗的临床概述

A clinical overview of the treatment of post-prostatectomy incontinence.

作者信息

Dorey Grace

机构信息

Somerset Nuffield Hospital, Taunton.

出版信息

Br J Nurs. 2007;16(19):1194-9. doi: 10.12968/bjon.2007.16.19.27357.

Abstract

This article discusses benign prostatic hyperplasia, which may be treated by a transurethral resection of prostate and prostate cancer which in turn may be treated by a radical prostatectomy. During both operations the bladder neck sphincter is damaged and continence relies on a competent external urethral sphincter. After surgery men may suffer from stress urinary incontinence, urge urinary incontinence and erectile dysfunction. Men undergoing prostatectomy would benefit from pre- and post-prostatectomy pelvic floor exercises including advice on how and when to perform them. Pelvic floor exercises can significantly help men with urinary incontinence and erectile dysfunction.

摘要

本文讨论了良性前列腺增生,其可通过经尿道前列腺切除术进行治疗,而前列腺癌则可通过根治性前列腺切除术进行治疗。在这两种手术过程中,膀胱颈括约肌都会受损,控尿依赖于功能正常的尿道外括约肌。手术后,男性可能会出现压力性尿失禁、急迫性尿失禁和勃起功能障碍。接受前列腺切除术的男性将从前列腺切除术前和术后的盆底肌锻炼中受益,包括关于如何以及何时进行锻炼的建议。盆底肌锻炼可以显著帮助患有尿失禁和勃起功能障碍的男性。

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