Division of Urology, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Urol. 2010 Mar;183(3):871-7. doi: 10.1016/j.juro.2009.11.011. Epub 2010 Jan 18.
Urinary incontinence has a significant impact on the quality of life of patients who undergo radical prostatectomy for prostate cancer. We reviewed available published data to analyze the etiology and prevention of this surgical complication.
A MEDLINE search of the literature on this topic was performed.
There was a wide disparity in the reported rates of urinary incontinence after radical prostatectomy due to various reasons including definitions, patient selection and intraoperative technical factors.
Postoperative urinary incontinence has a major impact on patient satisfaction after radical prostatectomy. Attention to factors including patient selection, nuances of the surgical technique, and a more uniform, widespread agreement on the definition and instruments to measure postoperative incontinence is needed to enhance surgical outcomes. In addition, further research is needed to improve the diagnosis and treatment of urinary incontinence after prostate cancer surgery.
对于因前列腺癌接受根治性前列腺切除术的患者，尿失禁对其生活质量有重大影响。我们回顾了现有的已发表数据，以分析该手术并发症的病因和预防措施。
对该主题的文献进行了 MEDLINE 搜索。
由于定义、患者选择和术中技术因素等各种原因，根治性前列腺切除术后尿失禁的报告率存在很大差异。
根治性前列腺切除术后尿失禁对患者满意度有重大影响。需要注意包括患者选择、手术技术细节以及对术后尿失禁的定义和测量工具的更统一、广泛的共识等因素，以提高手术效果。此外，还需要进一步研究以改善前列腺癌手术后尿失禁的诊断和治疗。
