Li Peng-Yu, Ding Liu-Cheng, Wei Zhong-Qing
Department of Urology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210011, China.
Zhonghua Nan Ke Xue. 2020 Sep;26(9):838-843.
Radical prostatectomy is a standard surgical strategy for prostate cancer though with a few postoperative complications such as urinary incontinence, erectile dysfunction and vesicle urethral anastomotic stricture. Post-prostatectomy incontinence, as a common complication seriously affecting the patient's quality of life, is mainly diagnosed according to the clinical symptoms and the results of urodynamic and imaging examinations. Patients with post-prostatectomy incontinence may undergo corresponding anatomic and functional changes, which can be clearly and directly observed in imaging examination. This review focuses on the advances in the imaging studies of post-prostatectomy urinary incontinence from the perspectives of MRI, ultrasound and cystourethrography.
根治性前列腺切除术是前列腺癌的标准手术策略,但会有一些术后并发症,如尿失禁、勃起功能障碍和膀胱尿道吻合口狭窄。前列腺切除术后尿失禁是一种严重影响患者生活质量的常见并发症,主要根据临床症状以及尿动力学和影像学检查结果进行诊断。前列腺切除术后尿失禁患者可能会出现相应的解剖和功能变化,这些变化在影像学检查中可以清晰、直接地观察到。本综述从磁共振成像(MRI)、超声和膀胱尿道造影的角度,重点介绍前列腺切除术后尿失禁的影像学研究进展。