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中华腔镜外科杂志(电子版) ›› 2025, Vol. 18 ›› Issue (03) : 188 -192. doi: 10.3877/cma.j.issn.1674-6899.2025.03.012

综述

微创时代根治性前列腺切除术后尿失禁机制分析
傅指南, 王准, 王勇()   
  1. 300211 天津医科大学第二医院泌尿外科
  • 收稿日期:2025-04-07 出版日期:2025-06-30
  • 通信作者: 王勇

Analysis of the mechanism of urinary incontinence after radical prostatectomy in the minimally invasive era

Zhinan Fu, Zhun Wang, Yong Wang()   

  1. Department of Urology, The Second Hospital of Tianjin Medical University, 300211, China
  • Received:2025-04-07 Published:2025-06-30
  • Corresponding author: Yong Wang
引用本文:

傅指南, 王准, 王勇. 微创时代根治性前列腺切除术后尿失禁机制分析[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(03): 188-192.

Zhinan Fu, Zhun Wang, Yong Wang. Analysis of the mechanism of urinary incontinence after radical prostatectomy in the minimally invasive era[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2025, 18(03): 188-192.

根治性前列腺切除术(radical prostatectomy, RP)作为目前治疗前列腺癌的标准手术方式,虽然实现了较为满意的瘤控,但术后尿失禁仍严重影响着患者的生活质量。近年来,多项研究探讨了影响根治术后尿失禁的相关风险因素,如生理结构的改变、解剖位置的损伤以及手术方式的影响等。本文旨在系统分析男性根治性前列腺切除术后尿失禁的形成机制,探讨其生理学、解剖学和手术相关因素,并为改善术后患者的尿控功能提出有效的预防和管理策略。

Radical prostatectomy (RP), as the current standard surgical treatment for prostate cancer, has achieved satisfactory tumor control. However, postoperative urinary incontinence still significantly impacts patients′ quality of life. In recent years, numerous studies have explored the risk factors influencing post-RP UI, including physiological alterations, anatomical injuries, and surgical techniques. This article aims to systematically analyze the pathophysiological mechanisms, examining its physiological, anatomical, and surgical-related factors, and to propose effective prevention and management strategies for improving postoperative urinary continence.

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