Hoyland Kimberley, Vasdev Nikhil, Abrof Ahmed, Boustead Gregory
Hertfordshire and South Bedfordshire Robotic Urological Cancer Centre, Department of Urology, Lister Hospital, Stevenage, United Kingdom.
Rev Urol. 2014;16(4):181-8.
All patients undergoing a radical prostatectomy (RP) using any surgical approach, be it open, laparoscopic, or robotic, are at risk of developing postprostatectomy urinary incontinence. This side effect of RP has an effect on the patient's quality of life and can be associated with moderate to severe postoperative morbidity. The authors present a review of the etiology and prevention strategies of postprostatectomy urinary incontinence. Based on the current literature, the authors conclude that there is a paucity of studies that can accurately answer the exact anatomic and physiologic etiologies of postprostatectomy urinary incontinence. The aim of urologic surgeons performing RP should be to reduce the rate of postoperative incontinence rather than attempting to treat it once it has occurred. Further studies aimed at providing a detailed anatomic map of the pelvic anatomy related to continence will help to improve surgical techniques and reduce postoperative urinary incontinence following RP.
所有接受根治性前列腺切除术（RP）的患者，无论采用何种手术方式，无论是开放手术、腹腔镜手术还是机器人手术，都有发生前列腺切除术后尿失禁的风险。RP的这种副作用会影响患者的生活质量，并且可能与中度至重度术后发病率相关。作者对前列腺切除术后尿失禁的病因及预防策略进行了综述。基于当前文献，作者得出结论，能够准确回答前列腺切除术后尿失禁确切解剖学和生理学病因的研究较少。实施RP的泌尿外科医生的目标应该是降低术后尿失禁的发生率，而不是在其发生后试图进行治疗。旨在提供与控尿相关的盆腔解剖详细图谱的进一步研究将有助于改进手术技术并降低RP术后的尿失禁发生率。
