Van Kampen M, De Weerdt W, Van Poppel H, Feys H, Castell Campesino A, Stragier J, Baert L
Faculty of Physical Education and Physiotherapy, University Hospital, K.U. Leuven, Belgium.
Urol Int. 1998;60(2):80-4. doi: 10.1159/000030216.
The aim of this study was to assess the incidence of incontinence after radical prostatectomy and to identify the various factors that can predict urinary continence after radical prostatectomy. Urinary continence following a radical prostatectomy was evaluated in 175 consecutive patients who underwent surgery. Immediately after catheter withdrawal, on the 15th postoperative day, 66% of the patients were incontinent. Varying degrees of incontinence persisted in 53% of the cohort at 1 month postoperatively. Thirty-three, 12, 8 and 2% of the patients remained incontinent at respectively 3, 6, 9 and 12 months of follow-up. A number of possible pre- and peroperative factors which might predict the continence status were examined are related to it at subsequent intervals after the surgical intervention. Preservation of the neurovascular bundles, prior transurethral resection of the prostate, preoperative micturition disorders and age were significant contributors in the prediction of urinary incontinence after radical prostatectomy.
本研究的目的是评估根治性前列腺切除术后尿失禁的发生率，并确定可预测根治性前列腺切除术后尿控情况的各种因素。对175例连续接受手术的患者进行了根治性前列腺切除术后尿控情况的评估。拔除导尿管后即刻，术后第15天，66%的患者存在尿失禁。术后1个月时，该队列中53%的患者仍存在不同程度的尿失禁。在分别随访3、6、9和12个月时，仍有尿失禁的患者比例分别为33%、12%、8%和2%。在手术干预后的后续时间段，对一些可能预测尿控状态的术前和术中因素进行了检查。保留神经血管束、既往经尿道前列腺切除术、术前排尿障碍和年龄是根治性前列腺切除术后尿失禁预测的重要因素。
