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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2025, Vol. 18 ›› Issue (03): 188-192. doi: 10.3877/cma.j.issn.1674-6899.2025.03.012

• Review • Previous Articles    

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 Online:2025-06-30 Published:2025-08-26
  • Contact: Yong Wang

Abstract:

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.

Key words: Radical prostatectomy, Urinary incontinence, Pathogenesis, Therapeutic approaches, Management strategies

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