Arcila-Ruiz Maria, Brucker Benjamin M
NYU Langone Medical Center, New York, NY, USA.
Curr Urol Rep. 2018 Feb 26;19(3):21. doi: 10.1007/s11934-018-0770-7.
Radical prostatectomy (RP) is the standard surgical treatment for localized prostate cancer. One of the side effects after RP impacting quality of life is urinary incontinence. Because of the impact in quality of life, more patients are seeking treatment for post-prostatectomy incontinence. Urodynamics are an important tool to help understand how prostate surgery changes bladder and urethral function. We reviewed the current literature in order to determine the role of urodynamics in post-prostatectomy incontinence.
Studies have been done to demonstrate the anatomical and functional changes in incontinent men after radical prostatectomy compared to continent men, as well as to evaluate the use of urodynamics in the work-up for post-prostatectomy incontinence prior to treatment. However, there is not a consensus about the indications of urodynamics in this population and new studies have questioned the real role of urodynamics in this setting. Because of the impact in quality of life, more patients are seeking treatment for post-prostatectomy incontinence. Urodynamics have been used to have a better understanding of the anatomical and functional changes in incontinent men after radical prostatectomy; however, the role of urodynamic testing to assess these patients and offer treatment is still to be determined.
根治性前列腺切除术（RP）是局限性前列腺癌的标准外科治疗方法。RP术后影响生活质量的副作用之一是尿失禁。由于对生活质量的影响，越来越多的患者寻求前列腺切除术后尿失禁的治疗。尿动力学是帮助了解前列腺手术如何改变膀胱和尿道功能的重要工具。我们回顾了当前的文献，以确定尿动力学在前列腺切除术后尿失禁中的作用。
已有研究表明，与控尿男性相比，根治性前列腺切除术后尿失禁男性的解剖和功能变化，以及在治疗前评估尿动力学在前列腺切除术后尿失禁检查中的应用。然而，对于该人群尿动力学的适应证尚无共识，新的研究对尿动力学在这种情况下的实际作用提出了质疑。由于对生活质量的影响，越来越多的患者寻求前列腺切除术后尿失禁的治疗。尿动力学已被用于更好地了解根治性前列腺切除术后尿失禁男性的解剖和功能变化；然而，尿动力学检测在评估这些患者并提供治疗方面的作用仍有待确定。
