Pathophysiology of Urinary Incontinence After Radical Prost Prostatectomyстатья из журнала
Аннотация: No AccessJournal of Urology1 May 1990Pathophysiology of Urinary Incontinence After Radical Prost Prostatectomy Joseph C. Presti, Richard A. Schmidt, Perinchery A. Narayan, Peter R. Carroll, and Emil A. Tanagho Joseph C. PrestiJoseph C. Presti , Richard A. SchmidtRichard A. Schmidt , Perinchery A. NarayanPerinchery A. Narayan , Peter R. CarrollPeter R. Carroll , and Emil A. TanaghoEmil A. Tanagho View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)40155-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail To define the origin of urinary incontinence after radical prostatectomy urodynamic studies in 24 incontinent patients were compared to those of 13 continent patients. A statistically significant difference between incontinent and continent patients was found for the mean functional profile length (2.1 versus 3.6cm., respectively, p less than 0.001), maximal urethral closure pressure (39 versus 74cm. water, respectively, p less than 0.001) and maximal urethral closure pressure during voluntary contraction of the external sphincter (107 versus 172cm. water, respectively, p less than 0.002). The differences among maximal detrusor pressure, initial bladder volume at which a detrusor contraction occurs, maximal cystometric capacity and residual urine were not statistically significant between the 2 groups. Urethral instability was present in 1 of the 24 incontinent patients (4.2%) and in none of the 13 continent patients, while detrusor instability was present in 6 (25%) and 3 (23.1%), respectively. Urethral and detrusor instability correlated poorly with incontinence (correlation coefficients 0.123 and 0.021, respectively). The appearance of the bladder outlet on voiding cystourethrography was correlated with urodynamic parameters and the presence or absence of continence. Tubularization above the level of the external sphincter was present in continent but absent in incontinent patients. Continence after radical prostatectomy is dependent upon sphincteric efficiency, which may be influenced by the anatomical configuration of the reconstructed bladder outlet and the integrity of the distal urethral sphincteric mechanism. (J. Urol, 143: 975–978, 1990) © 1990 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byLoughlin K and Prasad M (2010) Post-Prostatectomy Urinary Incontinence: A Confluence of 3 FactorsJournal of Urology, VOL. 183, NO. 3, (871-877), Online publication date: 1-Mar-2010.Whitson J, McAninch J, Tanagho E, Metro M and Rahman N (2008) Mechanism of Continence After Repair of Posterior Urethral Disruption: Evidence of Rhabdosphincter ActivityJournal of Urology, VOL. 179, NO. 3, (1035-1039), Online publication date: 1-Mar-2008.D'ORAZIO O, LAMBERT O, VALLATI J, FRANCO F, ROMANO S, de LASA STEWART T and SAENZ C (2018) TOTAL AND IMMEDIATE DAYTIME AND NIGHTTIME CONTINENCE WITH A RIGHT COLONIC NEOBLADDER—WHAT MAKES IT POSSIBLE? 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Volume 143Issue 5May 1990Page: 975-978 Advertisement Copyright & Permissions© 1990 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Joseph C. Presti More articles by this author Richard A. Schmidt More articles by this author Perinchery A. Narayan More articles by this author Peter R. Carroll More articles by this author Emil A. Tanagho More articles by this author Expand All Advertisement PDF downloadLoading ...
Год издания: 1990
Издательство: Lippincott Williams & Wilkins
Источник: The Journal of Urology
Ключевые слова: Prostate Cancer Diagnosis and Treatment, Urinary Bladder and Prostate Research, Pelvic floor disorders treatments
Другие ссылки: The Journal of Urology (HTML)
PubMed (HTML)
PubMed (HTML)
Открытый доступ: closed
Том: 143
Выпуск: 5
Страницы: 975–978