Anatomic-clinical criteria for prediction of continence after radical retropubic prostatectomy


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A study to identify objective risk factors for development of urinary incontinence in patients with prostate cancer who underwent radical retropubic prostatectomy was conducted. Before surgery, magnetic resonance imaging to assess the length of the membranous segment of urethra and shape of the apex of the prostate was performed in 180 patients with prostate cancer. In addition, for the purpose to determine the effect on the risk of development of stress urinary incontinence after surgery, the authors evaluated such factors as age, body mass index, serum prostate specific antigen, prostate volume, postoperative stage prostate cancer, Gleason score, nerve-sparing surgical technique, surgical margin status. At a median postoperative follow-up of 9 months, the frequency of incontinence was 7.8%. Length of membranous segment of urethra, the shape of the apex of the prostate gland, and the patient’s age had a statistically significant effect on the risk of urinary incontinence after the intervention.

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作者简介

O. Loran

RMAPE

Department of Urology and Surgical Andrology

I. Lukyanov

RMAPE

Department of Urology and Surgical Andrology

M. Al Khariri

RMAPE

Email: firas_alhariri@hotmaiI.com
Postgraduate Student at the Department of Urology and Surgical Andrology

V. Sinitsyn

FSBI “Treatment and Rehabilitation Centre” of RMPH

Center for radiodiagnosis

V. Motalov

SBEI HPE First MSMU n.a. I.M. Sechenov

Department of Human Anatomy

A. Bakunovich

FSBI “Treatment and Rehabilitation Centre” of RMPH

Center for radiodiagnosis

参考

  1. Алексеев Б.Я. Лечение локализованного и местнораспространенного рака предстательной железы: Дисс.. д-ра мед. наук. М., 2006. 304 с.
  2. Велиев Е.И. Оптимизация хирургического лечения больных локализованным раком предстательной железы: Дисс.. д-ра мед. наук. СПб., 2003. 348 с.
  3. Tewari A., Divine G., Chang P. et al. Long-term survival in men with high grade prostate cancer: a comparison between conservative treatment, radiation therapy and radical prostatectomy - a propensity scoring approach J. Urol. 2007; 177(3): 911-915.
  4. Stanford J.L., Feng Z., Hamilton A.S. et al. Urinary and sexual function after radical prostatectomy for clinically localized prostate cancer: the Prostate Cancer Outcomes Study. JAMA. 2000; 283(3): 354-360.
  5. Kundu S.D., Roehl K.A., Eggener S.E. et al. Potency, continence, and complications in 3477 consecutive radical retropubic prostatectomies. J. Urol. 2004; 172(6): 2227-2231.
  6. Graefen M., Walz J., Huland H. Open retropubic nervesparing radical prostatectomy. Eur. Urol. 2006; 49(1): 38-48.
  7. Loeb S., Roehl K.A., Helfand B.T. et al. Complications of open radical retropubic prostatectomy in potential candidates for active monitoring. Urology. 2008; 72(4): 887-891.
  8. Lee S.E., Byun S.S., Lee H.J. et al. Impact of variations in prostatic apex shape on early recovery of urinary continence after radical retropubic prostatectomy. Urology. 2006; 68(1): 137-141.
  9. Schlomm T., Heinzer H., Steuber T. et al. Full functional-length urethral sphincter preservation during radical prostatectomy. Eur. Urol. 2011; 60(2): 320-329.
  10. Gacci M., Carini M., Simonato A. et al. Factors predicting continence recovery 1 month after radical prostatectomy: results of a multicenter survey. Int. J. Urol. 2011; 18(10): 700-708.
  11. Велиев Е.И., Голубцова Е.Н., Котов С.В. Динамика восстановления удержания мочи у пациентов после радикальной позадилонной нервосберегающей простатэктомии. Онкоурология. 2011; 2: 64-68.
  12. Eastham J.A., Kattan M.W., Rogers E. et al. Risk factors for urinary incontinence after radical prostatectomy. J. Urol. 1996; 156(5): 1707-1713.
  13. Konety B.R., Sadetsky N., Carroll P.R. Recovery of urinary continence following radical prostatectomy: the impact of prostate volume-analysis of data from the CaPSURE Database. J. Urol. 2007; 177(4): 1423-1425.
  14. Lepor H., Kaci L. The impact of open radical retropubic prostatectomy on continence and lower urinary tract symptoms: a prospective assessment using validated self-administered outcome instruments. J. Urol. 2004; 171(3): 1216-1219.
  15. Catalona W.J., Carvalhal G.F., Mager D.E. et al. Potency, continence and complication rates in 1,870 consecutive radical retropubic prostatectomies. J. Urol. 1999; 162(2): 433-438.

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