耻骨后和会阴根治性前列腺切除术技术对术后尿失禁的影响：196例患者的结果。

The effects of retropubic and perineal radical prostatectomy techniques on postoperative urinary continence after surgery: Results of 196 patients.

作者信息

Kafkaslı Alper, Yücel Boz Mustafa, Balaban Muhsin, Horuz Rahim, Selimoğlu Ahmet, Albayrak Selami, Cangüven Önder

机构信息

Clinic of Urology, Dr. Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey.

Clinic of Urology, Kars State Hospital, Kars, Turkey.

出版信息

Turk J Urol. 2013 Sep;39(3):147-52. doi: 10.5152/tud.2013.031.

DOI:10.5152/tud.2013.031

PMID:26328099

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4548617/

Abstract

OBJECTIVE

The aim of this study was to examine the effects of the retropubic and perineal radical prostatectomy techniques on postoperative urinary continence.

MATERIAL AND METHODS

This study included patients who had undergone radical retropubic (RRP) (n=54) or radical perineal prostatectomies (RPP) (n=142) in our clinic between December 2006 and December 2010 with the indication of localized prostate cancer. Preoperative, and postoperative continence levels of the patients were evaluated on the day of catheter removal, and at 3., 6. or 12. months using University of California-Los Angeles (UCLA) prostate cancer index query forms completed by the patients themselves in outpatient clinics.

RESULTS

Mean ages of the perineal, and retropubic groups were 62.3 (48-77), and 62.5 (50-74) years, respectively. The absolute urinary control rates of the RPP patients on the first days, and the first, third, sixth, and twelfth months were 44.3, 63.6, 76.2, 79.5, and 86.1%, respectively. The same rates were 51.4, 75.7, 78.4, 89.2, and 91.9% for the RRP group, respectively.

CONCLUSION

There was no significant difference between RRP groups as for the frequency of urinary incontinence.

摘要

目的

本研究旨在探讨耻骨后根治性前列腺切除术和会阴根治性前列腺切除术技术对术后尿失禁的影响。

材料与方法

本研究纳入了2006年12月至2010年12月期间在我院因局限性前列腺癌而接受耻骨后根治性前列腺切除术（RRP）（n = 54）或会阴根治性前列腺切除术（RPP）（n = 142）的患者。在拔除导尿管当天以及术后3、6或12个月，使用患者在门诊自行填写的加利福尼亚大学洛杉矶分校（UCLA）前列腺癌指数查询表评估患者术前和术后的控尿水平。

结果

会阴组和耻骨后组的平均年龄分别为62.3岁（48 - 77岁）和62.5岁（50 - 74岁）。RPP患者在术后第一天、第一个月、第三个月、第六个月和第十二个月的完全控尿率分别为44.3%、63.6%、76.2%、79.5%和86.1%。RRP组的相应比率分别为51.4%、75.7%、78.4%、89.2%和91.9%。