Open versus laparoscopic radical prostatectomy: A prospective comparison of postoperative urinary incontinence rates
Open versus laparoscopic radical prostatectomy: A prospective comparison of postoperative urinary incontinence rates
复制标题
DOI：
10.1016/j.juro.2006.09.022
复制
发表时间：
2007-02-01
影响因子：
6.6
通讯作者：
Voaklander, Donald
中科院分区：
文献类型：
--
作者：
Jacobsen, Niels-Erik B.;Moore, Katherine N.;Voaklander, Donald
目的：我们比较了12个月的开放根治性耻骨后和腹腔镜根治性astrocytos.Materials和方法术后尿失禁率：这项前瞻性研究包括所有男性临床局限性前列腺癌根治性astrocytos.Materials和方法（开放耻骨后或腹腔镜）在阿尔伯塔大学1999年10月至2002年7月。术前评估包括24小时垫试验、液体排泄量日记和国际前列腺症状评分问卷。术后评估包括在3个月和12个月的24小时垫试验，以及排尿日记和国际前列腺症状评分问卷在3，6，9和12 month.Results：共239例患者符合资格标准，并同意参加（172开放根治性耻骨后直肠癌切除术，67腹腔镜根治性直肠癌切除术）。87%（148例）接受开放性耻骨后根治性直肠癌切除术的患者和88%（57例）接受腹腔镜根治性直肠癌切除术的患者完成了12个月随访（p = 0.50）。根据24小时尿垫试验，13%接受开放式根治性耻骨后直肠切除术的患者和17%接受腹腔镜根治性直肠切除术的患者在1年时仍然失禁（p = 0.26）。总体而言，开放手术组和腹腔镜组之间或根据12个月随访状态分层时，1年时24小时尿垫重量、泌尿系统症状评分和泌尿系统生活质量无差异。两组中的大多数受试者描述了轻微的症状和一般满意度与泌尿quality of life.Conclusions：基于客观和主观的措施，开放根治性耻骨后直肠癌切除术或腹腔镜根治性直肠癌切除术后1年的泌尿功能结果没有差异。发现尿失禁影响了术后12个月接受开放式（13%）和腹腔镜（17%）根治性尿道切除术的患者的相似比例。
Purpose: We compared the 12-month postoperative urinary incontinence rates of open radical retropubic and laparoscopic radical prostatectomy.Materials and Methods: This prospective study included all men with clinically localized prostate cancer scheduled for radical prostatectomy (open retropubic or laparoscopic) at the University of Alberta between October 1999 and July 2002. Preoperative evaluation included a 24-hour pad test, fluid volume voiding diary and International Prostate Symptom Score questionnaire. Postoperative evaluation included a 24-hour pad test at 3 and 12 months, as well as a voiding diary and International Prostate Symptom Score questionnaire at 3, 6, 9 and 12 months.Results: A total of 239 patients met the eligibility criteria and consented to participate (172 open radical retropubic prostatectomy, 67 laparoscopic radical prostatectomy). Of the patients 87% (148) treated with open radical retropubic prostatectomy and 88% (57) of those treated with laparoscopic radical prostatectomy completed 12-month followup (p = 0.50). According to 24-hour pad testing 13% of those treated with open radical retropubic prostatectomy and 17% of those treated with laparoscopic radical prostatectomy remained incontinent at 1 year (p = 0.26). There was no difference in 24-hour pad weight, urinary symptom score and urinary quality of life at 1 year between the open and laparoscopic groups overall, or when stratified according to 12-month continence status. The majority of subjects in both groups described mild symptoms and a general satisfaction with urinary quality of life.Conclusions: Based on objective and subjective measures, there were no differences in urinary functional outcomes 1 year after open radical retropubic prostatectomy or laparoscopic radical prostatectomy. Urinary incontinence was found to affect a similar proportion of patients who underwent open (13%) and laparoscopic (17%) radical prostatectomy 12 months postoperatively.