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朱晖, 邓康俐. 前列腺癌根治术后尿失禁的治疗现状和展望[J]. 肿瘤防治研究, 2020, 47(10): 727-733. DOI: 10.3971/j.issn.1000-8578.2020.20.0838
引用本文: 朱晖, 邓康俐. 前列腺癌根治术后尿失禁的治疗现状和展望[J]. 肿瘤防治研究, 2020, 47(10): 727-733. DOI: 10.3971/j.issn.1000-8578.2020.20.0838
ZHU Hui, DENG Kangli. Current Status and Future Directions of Treatment of Post-prostatectomy Urinary Incontinence in Prostate Cancer[J]. Cancer Research on Prevention and Treatment, 2020, 47(10): 727-733. DOI: 10.3971/j.issn.1000-8578.2020.20.0838
Citation: ZHU Hui, DENG Kangli. Current Status and Future Directions of Treatment of Post-prostatectomy Urinary Incontinence in Prostate Cancer[J]. Cancer Research on Prevention and Treatment, 2020, 47(10): 727-733. DOI: 10.3971/j.issn.1000-8578.2020.20.0838

前列腺癌根治术后尿失禁的治疗现状和展望

Current Status and Future Directions of Treatment of Post-prostatectomy Urinary Incontinence in Prostate Cancer

  • 摘要: 尿失禁是前列腺癌根治术后最常见的不良反应,严重影响患者术后的生活质量。随着前列腺精细解剖结构的发现以及术中保留性神经理念的普及,前列腺癌根治术后尿失禁的发生率已经得到显著降低。根据尿失禁程度的不同,目前的治疗策略主要有保守治疗、行为治疗、药物治疗、尿道填充剂注射、男性吊带术以及人工尿道括约肌等。本文综述了前列腺癌根治术后尿失禁的治疗现状,总结了不同治疗方案的适用范围及优缺点,并对未来新的治疗方案进行了展望。

     

    Abstract: Urinary incontinence is the most common adverse effects after radical prostatectomy, and it significantly impacts patients' quality of life after surgery. With the discovery of the fine anatomical structure of the prostate and the popularization of the concept of neurovascular bundle-sparing during surgery, the incidence of urinary incontinence after radical prostatectomy has been significantly reduced. Depending on the degree of urinary incontinence, the current treatment strategies include conservative treatment, behavioral therapy, pharmacotherapy, urethral bulking agents injection, male sling and artificial urethral sphincter. This article reviews the current status of treatment of urinary incontinence after radical prostatectomy, summarizes the scope of application, advantages and disadvantages of different treatment options and prospects for new treatment options in the future.

     

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