Simonin O, Savoie P-H, Serment G, Bladou F, Karsenty G
Service de chirurgie urologique, hôpital Sainte-Marguerite, 270, boulevard Sainte-Marguerite, 13274 Marseille cedex 09, France.
Prog Urol. 2010 Apr;20(4):239-50. doi: 10.1016/j.purol.2009.06.010. Epub 2009 Aug 28.
Evaluate urinary continence after radical prostatectomy.
Recent series about urinary continence were studied.
In seven articles analyzed, continence fluctuated between 63.6 and 91.9%. Evaluation benchmarks were depending on study. Unlike self-questionnaires, objective criteria (pad test) should be more reliable. Carcinologic prognostic factors were not implicated directly. The most frequently preoperative risk factors of incontinence were: age, BMI. Peroperative parameters, attesting of surgical difficulties could have a functional impact. Bladder neck preservation could affect the recovery velocity but not functional results. Length of catheterization and lack of urinary rehabilitation could be influent. The mean of continence evaluation after radical prostatectomy was different for each study.
Comparability was difficult because operative technique, group's features and mean of functional evaluation were different from study to study. Several risk factors were found but without consensus. It would be necessary to separate carcinologic and functional risk factors.
评估根治性前列腺切除术后的尿失禁情况。
研究近期有关尿失禁的系列报道。
在分析的7篇文章中，尿失禁率在63.6%至91.9%之间波动。评估基准因研究而异。与自我调查问卷不同，客观标准（尿垫试验）应该更可靠。肿瘤学预后因素未直接涉及。最常见的术前尿失禁危险因素为：年龄、体重指数。证明手术难度的术中参数可能会产生功能影响。保留膀胱颈可能会影响恢复速度，但不会影响功能结果。导尿时间和缺乏尿康复可能有影响。根治性前列腺切除术后尿失禁评估的平均值因每项研究而异。
由于手术技术、研究组特征和功能评估方法因研究而异，可比性较差。发现了几个危险因素，但尚无共识。有必要区分肿瘤学和功能危险因素。
