Correction of incontinence during radical prostates-tomy


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Abstract

Postoperative stress urinary incontinence has a significant effect on reducing the quality of life of patients undergoing radical prostatectomy. This review discusses the existing methods for correcting this condition, described in the world literature and which to one degree or another improve the quality of life of patients in this category. Analysis ofpresent data shows that currently there are 4 main basic techniques during radical prostatectomy, which allow to statistically significantly improve of functional results. In particular, usage of this methodic allows reducing the frequency and degree of postoperative incontinence: 1) preservation of neurovascular bundles, 2) anterior and/or posterior reconstruction of the fascial spaces of the pelvis, 3) preservation of the maximum length of the membranous urethra, 4) reconstruction of the bladder neck. Preservation of the neurovascular bundles, anterior and/or posterior reconstruction of the pelvic fascial spaces have already proven themselves as effective techniques currently used by many surgeons. In contrast, the clinical utility of reserve the maximum possible length of the membranous urethra and reconstructive surgery of the bladder neck are relatively new techniques. Their clinical usefulness, as well as safety, continues to be studied.

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About the authors

I. I Belousov

Rostov State Medical University (FGBOU VPO RostGMU of Russian Federation Ministry of Healthcare)

Email: belrost_dept@mail.ru
M.D., DMS, Associate Professor, Professor at the Department of Urology and Human Reproductive Health with the Course of Pediatric Urology-andrology of the Advanced Training and Specialist Professional Retraining Faculty Rostov-on-Don, Russia

S. K Tokhtamishyan

Rostov State Medical University (FGBOU VPO RostGMU of Russian Federation Ministry of Healthcare)

Email: kaprelovich@yandex.ru
Full-time Postgraduate student at the Department of Urology and Human Reproductive Health with the Course of Pediatric Urology-andrology of the Advanced Training and Specialist Professional Retraining Faculty Rostov-on-Don, Russia

R. S Ismailov

Rostov State Medical University (FGBOU VPO RostGMU of Russian Federation Ministry of Healthcare)

Email: dr.ruslan.ismailov@gmail.com
Full-time Postgraduate student at the Department of Urology and Human Reproductive Health with the Course of Pediatric Urology-andrology of the Advanced Training and Specialist Professional Retraining Faculty Rostov-on-Don, Russia

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