Van Kampen M, De Weerdt W, Van Poppel H, Baert L
Faculty of Physical Education and Physiotherapy, K.U. Leuven, Belgium.
Acta Urol Belg. 1997 Dec;65(4):1-7.
Urinary incontinence following prostate surgery was evaluated in 489 consecutive patients: 216 patients underwent a transurethral resection, 98 patients a transvesical prostatectomy for benign prostatic hyperplasia and 175 patients a radical prostatectomy for localized prostate cancer. In the first group incontinence was present in 19% of the patients immediately after catheter withdrawal, 16% after 1 month, 8% after 3 months, 3% and 2% after 6 and 9 months, 1.5% after 1 year and 0.5% after 15 months. In the second group incontinence was present in 15% immediately after catheter withdrawal, 12% after 1 month, 5% after 3 months, 2% after 6 months and 1% after 9, 12 and 15 months. In the last group the incontinence rate was higher, 66% were incontinent immediately after catheter withdrawal, 53% after 1 month, 33% after 3 months, 12% after 6 months, 8% after 9 months. After 12 and 15 months still 2% had problems with persistent incontinence. These results compare favourably with the results from the literature. The fact that a rehabilitation program was introduced for the patients with post-operative incontinence, may have been a contributing factor.
对489例连续接受前列腺手术的患者进行了尿失禁评估：216例患者接受了经尿道切除术，98例患者因良性前列腺增生接受了经膀胱前列腺切除术，175例患者因局限性前列腺癌接受了根治性前列腺切除术。在第一组中，拔管后立即有19%的患者出现尿失禁，1个月后为16%，3个月后为8%，6个月和9个月后分别为3%和2%，1年后为1.5%，15个月后为0.5%。在第二组中，拔管后立即有15%的患者出现尿失禁，1个月后为12%，3个月后为5%，6个月后为2%，9个月、12个月和15个月后为1%。在最后一组中，尿失禁发生率更高，拔管后立即有66%的患者失禁，1个月后为53%，3个月后为33%，6个月后为12%，9个月后为8%。12个月和15个月后仍有2%的患者存在持续性尿失禁问题。这些结果与文献报道的结果相比更有利。为术后尿失禁患者引入康复计划这一事实可能是一个促成因素。
