改良膀胱颈重建术对前列腺癌根治术后尿控的作用

The modified bladder neck reconstruction controlling urinations after the radical prostatectomy

摘要: 目的:探讨改良膀胱颈重建术在前列腺癌根治术后尿控的作用。方法:对30例前列腺癌患者采用保护尿道膜部括约肌和前列腺旁血管神经索,在重建的膀胱颈部后壁折叠缝合1针。结果:30例术后随访3~40个月。膀胱控尿正常者28例,轻度压力性尿失禁1例,急迫性尿失禁1例。结论:保护尿道膜部括约肌,血管神经索和重建的膀胱颈部后壁折叠缝合1针能减少前列腺癌根治术后尿失禁。

Abstract: Objective: To explore effect of the modified bladder neck reconstruction on controling urinations the radical prostatectomy.Methods: The radical retropubic prostatectomy was performed on a total of 30 cases of prostate cancer.The membranous part of sphincter urethrate was preserved and the neurovascular bundle folding stitch to rebuild the bladder neck.Results: All patients were followed-up for 3-40 months,28 patients had normal voiding,one with mild stress incontinence,one was urgent urinary incontinence.Conclusions: The incontinence after radical retropubic prostatectomy could be redaced by the method of preserving the membranous part of sphincter urethrae and preserving the neurovascular bundle lateral to the prostate in operation.It could also be avoided by evaginate the posterior wall of the baldder adegaately and made an additional folding stitch to the bladder neck,