前列腺切除术后尿失禁:从起源到治疗

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Precision Medical Sciences Pub Date : 2023-12-01 DOI:10.1002/prm2.12121
Quan Jing, Jijia Gu, Ziwei Li, Xuan Sun, Qiuyang Chen, Shanhong Li, Weizhang Xu
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引用次数: 0

摘要

前列腺癌是目前常见的恶性肿瘤,根治性前列腺切除术后仍存在不良反应。多达 30% 的患者抱怨尿失禁(UI)。本综述从前列腺切除术后尿失禁(PPUI)的病理生理基础入手,介绍了PPUI的正常尿控功能维持、解剖学变化和尿动力学维持。然后,介绍尿失禁的各种影响因素,如患者的基础条件、膜尿道长度、术前前列腺特异性抗原水平、手术方法和技术等造成的差异。最后,我们将详细介绍 PPUI 的各种治疗方法。其中包括 PPUI 的无创保守治疗、传统手术治疗、新兴的干细胞治疗以及术后心理治疗。总结了前列腺切除术后尿路感染的治疗现状,并提出了该技术的发展前景。
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Prostatectomy postoperative urinary incontinence: From origin to treatment
Prostate cancer is a common malignant tumor at present, and there are still adverse reactions after radical prostatectomy. As many as 30% of patients complain of urinary incontinence (UI). This review begins with the pathophysiological basis of post‐prostatectomy urinary incontinence (PPUI) and describes the maintenance of normal urine control function, anatomical changes, and urodynamic maintenance of PPUI. Then, we talk about the various influencing factors of UI, for example, the differences caused by the basic condition of the patient, the length of the membranous urinary tract, the level of prostate‐specific antigen before operation, the method and technique of operation, and so on. Last, we introduce all kinds of treatments of PPUI in detail. It includes noninvasive conservative treatment, traditional surgical treatment, emerging stem cell therapy treatment, and postoperative psychotherapy of PPUI. The present situation of the treatment of UI after prostatectomy is summarized, and the prospect of the technology is put forward.
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来源期刊
Precision Medical Sciences
Precision Medical Sciences MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
0.00%
发文量
33
审稿时长
15 weeks
期刊最新文献
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