Letters to the Editor/ErrataRE: THE IMPACT OF OPEN RADICAL RETROPUBIC PROSTATECTOMY ON CONTINENCE AND LOWER URINARY TRACT SYMPTOMS: A PROSPECTIVE ASSESSMENT USING VALIDATED SELF-ADMINISTERED OUTCOME INSTRUMENTS
Letters to the Editor/ErrataRE: THE IMPACT OF OPEN RADICAL RETROPUBIC PROSTATECTOMY ON CONTINENCE AND LOWER URINARY TRACT SYMPTOMS: A PROSPECTIVE ASSESSMENT USING VALIDATED SELF-ADMINISTERED OUTCOME INSTRUMENTS
复制标题
致编辑的信/勘误表：开放式根治性耻骨后前列腺切除术对节制和下尿路症状的影响：使用经过验证的自我管理结果工具进行前瞻性评估
DOI：
10.1097/01.ju.0000154139.70090.6c
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发表时间：
2005
期刊：
影响因子：
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通讯作者：
L. Kaçi
中科院分区：
文献类型：
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作者：
H. Lepor;L. Kaçi
前列腺癌指数。术后4个时段的有效率均在94%以上，值得称赞。下尿路症状的改善可能是个别患者选择手术而倾向于任何形式的放射治疗的原因。这项研究证实了有用的术前和术后咨询信息，即术后两年内可控性可以继续改善。在这方面，没有确定的因素，包括年龄，基线美国泌尿学协会评分，前列腺活检的Gleason评分，估计的失血量，双侧神经保留，以及根尖切除切缘是否有良性前列腺体，都没有确定预测早期恢复可控的因素。我们感兴趣地注意到，在方法学和讨论中既没有提到盆底锻炼，也没有提到保留膀胱颈。尽管遵循Walsh的解剖学原理的开放性耻骨后前列腺癌切除术目前在世界范围内是一种成熟的肿瘤手术，但在手术的实施和术后处理上仍存在争议和分歧。盆底锻炼的作用就是这样的争议之一。虽然一些泌尿科医生强调这种做法，并在手术前或手术后通过不同程度的专业协助教育患者，但另一些人认为正式的盆底锻炼是不必要的资源浪费。2、3了解作者的做法将是一件有趣的事情。
Prostate Cancer Index. They consistently achieved a commendable greater than 94% response rate at 4 intervals postoperatively. The improvement in lower urinary tract symptoms may serve as a reason for individual patients opting for surgery in favor of any form of radiotherapy. The study confirms useful preoperative and postoperative counseling information that continence can continue to improve for up to 2 years following surgery. In this regard no factors, including age, baseline American Urological Association score, Gleason score of prostate biopsy, estimated blood loss, bilateral nerve sparing, and presence or absence of benign prostatic glands at the apical resection margin, were identified that predicted early return to continence. We noted with interest that neither pelvic floor exercise nor bladder neck preservation was mentioned in the methodology and discussion.Although open radical retropubic prostatectomy following the anatomical principles popularized by Walsh is now a well established uro-oncological procedure worldwide, 1 controversies and differences still exist in the execution of the operation and postoperative management. The role of pelvic floor exercise is one such controversy. While some urologists emphasize this practice, and educate the patient either preoperatively or postoperatively with varying degrees of professional assistance, others consider formal pelvic floor exercise an unnecessary waste of resources. 2, 3 It would be interesting to know the practice of the authors.