| 前列腺癌根治术中保护控尿功能的体会 |
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| 引用本文： | 黄翼然,刘东明,薛蔚,周伟民,周立新,陈海戈. 前列腺癌根治术中保护控尿功能的体会[J]. 中华泌尿外科杂志, 2003, 24(1): 43-44 |
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| 作者姓名： | 黄翼然 刘东明 薛蔚 周伟民 周立新 陈海戈 |
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| 作者单位： | 1. 200127,上海第二医科大学附属仁济医院泌尿外科
2. 上海市闸北区中心医院泌尿外科 |
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| 摘 要： | 目的：减少耻骨后前列腺癌根治术患者术后尿失禁发生率。方法：对16例B超前列腺癌患者行保护控尿功能的解剖性耻骨后前列腺癌根治术。结果：16例术后随访3个月-5年，平均13个月。膀胱控尿正常者13例，轻度压力性尿失禁者2例，严重尿失禁者1例。结论：在行耻骨后前列腺癌根治术时，认识尿道括约肌及其支配神经的解剖位置及结构，避免对其损伤可以减少术后尿失禁发生率。
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| 关 键 词： | 前列腺癌 根治术 手术后并发症 尿失禁 |
| 修稿时间： | 2002-03-28 |
Continence-preserving radical retropubic prostatectomy |
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| HUANG Yi ran ,LIU Dong ming,XUE Wei,et al.. Continence-preserving radical retropubic prostatectomy[J]. Chinese Journal of Urology, 2003, 24(1): 43-44 |
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| Authors: | HUANG Yi ran LIU Dong ming XUE Wei et al. |
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| Affiliation: | HUANG Yi ran *,LIU Dong ming,XUE Wei,et al. *Department of Urology,Renji Hospital,Shanghai Second Medical University,Shanghai 200127,China |
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| Abstract: | Objective To explore the surgical approach of reducing the incontinence after radical retropubic prostatectomy with recent anatomic findings. Methods Sixteen patients with stage B prostate carcinoma received continence preserving anatomic radical retropubic prostatectomy. Results All the patients were followed up 3 months to 5 years,mean 13 months.Thirteen patients had normal voiding,two with mild stress incontinence.Only one was complicated with serious incontinence. Conclusions Identifing and preserving the external striated urethral sphincter and its innervation in performing anatomic retropubic prostatectomy will achieve postoperative urinary continence. |
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| Keywords: | Prostatic neoplasms Carcinoma Surgical procedures operative Postoperative complications Urinary incontinence |
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