Research progress on influence factors and treatment of urinary incontinence after radical cystectomy and orthotopic neobladder in male
10.3760/cma.j.cn431274-20200910-01267
- VernacularTitle:男性根治性膀胱切除联合原位新膀胱术后尿失禁的影响因素及治疗手段的研究进展
- Author:
Ziwei ZHU
1
;
Jiajun CHEN
;
Zaisheng ZHU
Author Information
1. 浙江大学医学院，杭州 310000
- Keywords:
Cystectomy;
Urinary incontinence;
Influential factor;
Male
- From:
Journal of Chinese Physician
2021;23(11):1756-1760
- CountryChina
- Language:Chinese
-
Abstract:
Radical cystectomy is widely used as a gold standard in the treatment of invasive bladder cancer. Urinary diversion is required after radical cystectomy. In all kinds of urinary diversion procedures, orthotopic neobladder is preferred by its advantages such as spontaneous voiding, avoidance of external ostomy and improvement of body image. After surgery, urinary incontinence is a common complication. In this review, we systematically outline the management of urinary incontinence in men after radical cystectomy and orthotopic neobladder. And we mainly describe the influential factors of urinary incontinence, such as preoperative diabetes, intraoperative intestinal selection and nerve preservation, and postoperative urinary tract infection. The related post-operative management of urinary incontinence that has been conducted previously is also described in detail. The aim of this study is to provide guidance for the systematic treatment of urinary incontinence in clinical practice, and to look forward to the possible future development directions of urinary incontinence treatment, such as bladder neck reconstruction and stem cell therapy.
