Herranz-Amo F
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Actas Urol Esp (Engl Ed). 2020 Dec;44(10):674-681. doi: 10.1016/j.acuro.2020.06.006. Epub 2020 Jul 30.
Historical review of procedures and maneuvers described in the literature to preserve-increase urinary continence after retropubic prostatectomy.
Review of the original articles on the design of maneuvers for the preservation of urinary continence.
Numerous maneuvers have been described attempting to preserve-increase urinary continence after prostatectomy. They can be grouped into preservation of puboprostatic ligaments, bladder neck, striated sphincter or trigonal innervation, construction of a neourethra, suspension of the anastomosis or the dorsal venous complex and intussusception of the bladder neck.
There is no ideal maneuver for preserving-increasing urinary continence after retropubic prostatectomy, as there is no well-conducted work with any of these techniques that confirm their efficacy.
对文献中描述的耻骨后前列腺切除术后保持或增加尿失禁的手术和操作进行历史回顾。
回顾关于保持尿失禁的操作设计的原始文章。
已描述了许多旨在耻骨后前列腺切除术后保持或增加尿失禁的操作。它们可分为保留耻骨前列腺韧带、膀胱颈、横纹括约肌或三角区神经支配、构建新尿道、吻合口或背静脉复合体悬吊以及膀胱颈套叠。
耻骨后前列腺切除术后没有理想的保持或增加尿失禁的操作，因为没有对这些技术中的任何一种进行过充分的研究来证实其有效性。
