腹腔镜根治性前列腺切除术后控尿功能的影响因素  

Factors influencing urinary continence after laparoscopic radical prostatectomy

作　　者：黄建林[1] 邱敏[1] 马潞林[1] 

机构地区：[1]北京大学第三医院泌尿外科,北京100191

出　　处：《北京大学学报（医学版）》2013年第3期499-503,共5页Journal of Peking University:Health Sciences

摘　　要：根治性前列腺切除术（radical prostatectomy,RP）是治疗局限性前列腺癌最有效的方法之一,包括经会阴根治性前列腺切除术（radical perineal prostatectomy,RPP）、经耻骨后根治性前列腺切除术（radical retropubic prostatectomy,RRP）以及近年来发展的腹腔镜根治性前列腺切除术（laparoscopic radical prostatectomy，LRP）和机器人辅助腹腔镜根治性前列腺切除术（robot—assisted laparoscopic radical prostatectomy，RALP）。Radical prostatectomy is one of the most effective treatments for men with clinically localized prostate cancer. Though technical innovations, especially laparoscopic techniques, have developed rapidly for the last decade, urinary incontinence remains one of the most troubling side effects of the operation. While the injury of urethral sphincter and its innervations was considered as the most important reason for incontinence, factors influencing postoperative continence that have been considered include clinical features of patients, such as the patient＇ s age, size of the prostate, prior prostatic surgery and features of the surgical technique itself, such as preservation of full functional-length urethra, preservation of the neurovascular bundles, bladder neck preservation or reconstruction and pelvic floor muscle training during the early phase after the surgery. Nonetheless, many factors above have not been clearly established, and controversy goes on among different studies. This article reviews factors that may influence urinary continence after laparoscopic radical prostatectomy.

关 键 词：前列腺切除术 腹腔镜检查 尿失禁 

分 类 号：R697.3[医药卫生—泌尿科学]