Drouin S-J, Rouprêt M
Service d'Urologie Hôpital Pitié-Salpétrière, AP-HP, Groupe Hospitalo-Universitaire Est, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France.
Prog Urol. 2009 Apr;19 Suppl 1:S8-S11. doi: 10.1016/S1166-7087(09)73899-0.
Incidence of prostate cancer is constantly increasing, notably localized cancer cases in young men:As a direct consequence of PSA-driven screening. Recent researchers and clinicians efforts have greatly improved the options and the indications of the treatment, particularly in surgery. The development of the video assisted technologies, with encouraging oncological outcomes and promising functional results are establishing evidences of the evolution of prostate surgery. In daily practice, the strategy for the surgical management of postoperative incontinence, when required, is also more established and represents another challenge took up by the urologists. Besides, the emergence of new innovations:As one-trocar system for laparoscopy or 3-D vision for laparoscopy, confirms the idea of a deep and perpetual mutation in the area of prostate cancer surgery.
前列腺癌的发病率持续上升，尤其是年轻男性的局限性癌症病例：这是PSA筛查的直接结果。近期研究人员和临床医生的努力极大地改善了治疗选择和指征，尤其是在手术方面。视频辅助技术的发展，其肿瘤学结果令人鼓舞且功能结果前景良好，正在为前列腺手术的发展提供证据。在日常实践中，术后尿失禁的手术管理策略（如有需要）也更加成熟，这是泌尿外科医生面临的另一项挑战。此外，新创新的出现：如腹腔镜单孔系统或腹腔镜三维视觉，证实了前列腺癌手术领域正在发生深刻而持久的变革。
