Singla Nirmish, Singla Ajay K
Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
Department of Urology, University of Toledo Medical Center, Toledo, OH, USA.
Turk J Urol. 2014 Mar;40(1):1-8. doi: 10.5152/tud.2014.222014.
Urinary incontinence after prostatectomy or radiation is a devastating problem in men and remains the most feared complication following the treatment of localized prostate cancer. With an increasing number of radical prostatectomies performed globally for prostate cancer, the impact of urinary incontinence on quality of life assumes an even greater importance. With the advent of male sling procedures, more men are now seeking treatment for incontinence. Since the introduction of the artificial urinary sphincter almost four decades ago, several surgical procedures have emerged to manage post-prostatectomy incontinence, including the male sling for milder forms of incontinence. Several of the newer procedures have shown promise in the United States; many others have been developed and utilized in other parts of the world, though they have not yet gained FDA approval in the United States. The present review seeks to illuminate the etiology, evaluation, and management of post-prostatectomy incontinence. An effort has been made to provide an algorithm to clinicians for appropriate surgical management. The surgical techniques of commonly performed procedures and their outcomes are described.
前列腺切除术后或放疗后尿失禁是男性面临的一个严重问题，仍然是局限性前列腺癌治疗后最令人恐惧的并发症。随着全球范围内因前列腺癌而进行的根治性前列腺切除术数量不断增加，尿失禁对生活质量的影响变得更加重要。随着男性吊带手术的出现，现在有更多男性寻求尿失禁治疗。自从大约四十年前引入人工尿道括约肌以来，已经出现了几种手术方法来处理前列腺切除术后的尿失禁，包括针对较轻形式尿失禁的男性吊带手术。一些较新的手术方法在美国已显示出前景；世界其他地区也开发并使用了许多其他方法，尽管它们尚未获得美国食品药品监督管理局（FDA）的批准。本综述旨在阐明前列腺切除术后尿失禁的病因、评估和管理。已努力为临床医生提供一种进行适当手术管理的算法。描述了常用手术的手术技术及其结果。
