Prevention and treatment of incontinence after radical prostatectomy.
Prevention and treatment of incontinence after radical prostatectomy.
复制标题
根治性前列腺切除术后尿失禁的预防和治疗。
DOI：
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发表时间：
1995
期刊：
影响因子：
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通讯作者：
Franke Jj
中科院分区：
文献类型：
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作者：
Milam Df;Franke Jj
Postoperative complications after radical prostatectomy have only recently been studied in a formal prospective manner. A survey of existing literature yields widely disparate rates of postoperative incontinence. Classically, about 5% of patients were believed to be incontinent. More recent studies that involve patient questionnaires and a specific continence history indicate that nearly 30% of patients experience some urinary leakage with activity. Evolving new operative techniques such as modified apical dissection and construction of a tubularized neourethra have potential to improve continence rates considerably. Patients who do experience urinary incontinence should be offered appropriate evaluation and treatment. In addition to cystourethroscopy, all patients should undergo cystometry and Valsalva leak-point testing to differentiate sphincteric dysfunction from detrusor instability. Injection of bovine cross-linked collagen into the preexternal sphincter zone or implantation of the artificial urinary sphincter are options for treatment of intrinsic sphincter dysfunction. Detrusor instability is best treated with pharmacotherapy. This article discusses the details of prevention, evaluation, and treatment of postprostatectomy incontinence.
