中国癌症杂志 ›› 2014, Vol. 24 ›› Issue (3): 231-234.doi: 10.3969/j.issn.1007-3969.2014.03.013

• 综述 • 上一篇    下一篇

前列腺癌根治术后尿失禁的预防与治疗

常坤 综述,戴波 审校   

  1. 复旦大学附属肿瘤医院泌尿外科,复旦大学上海医学院肿瘤学系,上海 200032
  • 出版日期:2014-03-31 发布日期:2014-04-01
  • 通信作者: 戴波 E-mail:bodai1978@126.com.cn

Prevention and treatment of post-prostatectomy incontinence

CHANG Kun, DAI Bo   

  1. Department of Urology, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Published:2014-03-31 Online:2014-04-01
  • Contact: DAI Bo E-mail: bodai1978@126.com

摘要:

前列腺癌根治术后尿失禁作为前列腺癌根治术后的主要并发症之一严重影响了患者的生活质量。现就可以改善前列腺癌根治术后尿失禁的几种治疗策略进行深入探讨,这些策略包括围手术期的非手术方式(盆底肌功能锻炼、药物治疗),手术中控尿血管神经束保留和手术后的再次手术干预(尿道悬吊术、人造尿道括约肌植入术),为临床实践提供参考。

关键词: 前列腺癌, 尿失禁, 前列腺癌根治术

Abstract:

Postoperative incontinence is one of the most feared complications of radical prostatectomy with a major impact on patients’ quality of life. There are several ways to treat with the incontinence including pelvic floor muscle training and medication as the conservative treatment, nerve-sparing approach during the operation and the urethral sling and the artificial urinary sphincter placement as the operative treatment. The aim of this article is to evaluate the treatment stated above to provide some guidance to deal with post-prostatectomy incontinence.

Key words: Prostate cancer, Urinary incontinence, Radical prostatectomy