Ventimiglia Bernardo, Tsirgiotis Andreas, Fanzone Irene, Coco Tiziana, Privitera Salvatore
Servizio di Neuro Urologia ed Urodinamica, Clinica Urologica, Università di Catania, Italy.
Urologia. 2011 Apr-Jun;78(2):82-5. doi: 10.5301/RU.2011.7975.
Urinary incontinence after radical prostatectomy presents different clinical features. We propose to clarify the etiology and the therapeutic approaches.
51 patients with urinary incontinence after radical prostatectomy underwent urodynamics, perineal EMG, perineal EMG frequency analysis and study of computerized sensory pudendal somatosensory evoked potentials.
18 patients (35%) were suffering from urinary incontinence secondary to overactive bladder, 14 patients (28%) had both an overactive bladder and a sphincter failure associated with Wallerian degenerative axonal neuropathy or segmental demyelination, 3 patients (6%) showed no significant urodynamics alterations but had signs of an incompetent sphincter neurapraxia, while 16 patients (31%) had urinary incontinence secondary to a degenerative neuropathy.
Urinary incontinence after radical prostatectomy shows an etiologic diversification and therefore requires different therapeutic approaches
根治性前列腺切除术后尿失禁呈现不同的临床特征。我们旨在阐明其病因及治疗方法。
51例根治性前列腺切除术后尿失禁患者接受了尿动力学检查、会阴肌电图、会阴肌电图频率分析以及计算机化感觉性阴部躯体感觉诱发电位研究。
18例患者（35%）因膀胱过度活动继发尿失禁，14例患者（28%）既有膀胱过度活动又有括约肌功能障碍，与沃勒变性轴索性神经病或节段性脱髓鞘相关，3例患者（6%）尿动力学无明显改变，但有括约肌神经失用的体征，而16例患者（31%）因退行性神经病继发尿失禁。
根治性前列腺切除术后尿失禁病因多样，因此需要不同的治疗方法
