Diokno A C
University of Michigan, Department of Urology, William Beaumont Hospital, Royal Oak 48073, USA.
Ostomy Wound Manage. 1998 Jun;44(6):54-8, 60.
The specific incidence rate of post prostatectomy incontinence is difficult to ascertain. However, regardless of the type of prostatectomy, whether it be transurethral, radical retropubic or radical perineal prostatectomy, or the nature of the prostatic disease, several risk factors are common to all. The most significant risk factors include pre-existing detrusor and/or sphincter dysfunction, increasing age, and surgical expertise. Management options include behavioral techniques, pharmacologic therapy, surgical intervention, and other supportive measures. While no definitive preventive measures can be recommended at this time, reducing the incidence of post prostatectomy urinary incontinence should be the goal.
前列腺切除术后尿失禁的具体发病率难以确定。然而,无论前列腺切除术的类型是经尿道、根治性耻骨后或根治性会阴前列腺切除术,还是前列腺疾病的性质如何,一些风险因素在所有情况下都是常见的。最重要的风险因素包括既往存在的逼尿肌和/或括约肌功能障碍、年龄增长以及手术专业技能。治疗选择包括行为技术、药物治疗、手术干预和其他支持性措施。虽然目前无法推荐明确的预防措施,但降低前列腺切除术后尿失禁的发病率应是目标。