Prevention and treatment of urinary incontinence after laparoscopic radical prostatectomy
Jin Yongsheng1, Dong Bing2, Yu Honkai3, Bai Ansheng1, Guo Wei1,
1Department of Urology, Yan'an University Hospital, Yan'an 716000, China; 2Department of Infectious Diseases, Yan'an University Hospita; 3Department of Urology, Chinese PLA General Hospital
Abstract：Objective: To analyze the prevention and treatment of urinary incontinence after laparoscopic radical prostatectomy. Methods: The clinical data and follow-up results of 35 patients who received the laparoscopic radical prostatectomy were studied retrospectively, and the postoperative urinary incontinence and recovery were observed. Results: During the surgery, the membrane urethra sphincter and neurovascular bundle of the 35 patients were protected. At the same time, the urethra was isolated anatomically when separating the bladder neck. The bladder neck was preserved to avoid a large bladder neck incision, and the posterior wall was sutured securely in the anastomosis. After removal of ureter, urinary incontinence occurred immediately. During the follow-up period of 12 to 24 months, 32 cases obtained recovery of the urinary control function within 2-4 months by auxiliary exercise plus drug treatment and psychological counseling, except for 2 older patients with poor matched training, and 1 patient with severe diabetes, who recovered 6 months after the operation. Conclusions: Full preoperative assessment of patients, accurate intraoperative operation skills and auxiliary function exercise plus drug treatment and psychological counseling after operations were three key factors in reducing the occurrence of urinary incontinence after laparoscopic radical prostatectomy.
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