Observation of post-prostatectomy incontinence :supra-pubic transvesical prostatectomy and transurethral resection of prostate
- VernacularTitle:耻骨上经膀胱手术与经尿道电切术治疗前列腺增生症的比较
- Author:
Shaofeng SHAO
;
Jihai CHEN
;
Chengdi LI
;
Yao LIU
;
Cunji JIANG
- Publication Type:Journal Article
- Keywords:
Prostatectomy;
Transurethral resection of prostate;
Prostatic hyperplasia;
Urinary incontinence
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(6):923-924
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the morbidity of the post-prostatectomy incontinence of supra-pubic transvesical prostatectomy(SPP) and transurethral resection of prostate(TURP). Methods One hundred and thirtyfive patients were divided into two groups. 82 patients underwent SPP and 53 patients underwent TURP. We ob-served the morbidity and the time lasting of post-prostatectomy incontinence, the severity of post-prostatectomy in-continence as evaluated by Stamey incontinence grading system,patients who had more than one week postoperativeincontinence were received urodynamic tests,then we got the information of their incontinence types. Results We found that patients who underwent SPP had higher morbidity, severity and time lasting than those who underwent TURP. SPP group had much more morbidity of stress incontinence than TURP group, but the same morbidity of ur-gent incontinence after operation as the later. Conclusion TURP may be better than SPP in consideration of the post-prostateetomy incontinence. SPP group has more stress incontinence and it may be caused by complete resection of prostate and damnifieation of the mucous membrane of membranous urethra.
