J 2017

Literature review of factors affecting continence after radical prostatectomy

PACÍK, Dalibor and Michal FEDORKO

Basic information

Original name

Literature review of factors affecting continence after radical prostatectomy

Name in Czech

Faktory ovlivňujících kontinenci po radikální prostatektomii - přehled literatury

Authors

PACÍK, Dalibor (203 Czech Republic) and Michal FEDORKO (703 Slovakia, guarantor, belonging to the institution)

Edition

Saudi Medical Journal, Riyadh, Saudi Arabian Armed Forces Hospital, 2017, 0379-5284

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30218 General and internal medicine

Country of publisher

Saudi Arabia

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.055

RIV identification code

RIV/00216224:14110/17:00096107

Organization unit

Faculty of Medicine

DOI

UT WoS

000395632900002

Keywords (in Czech)

kontinence; karcinom prostaty; radikální prostatektomie

Keywords in English

continence; prostate cancer; radical prostatectomy

Tags

Tags

International impact, Reviewed
Změněno: 20/3/2018 15:51, Soňa Böhmová

Abstract

V originále

Radical prostatectomy (RP) is the most common cause of stress urinary incontinence (UI) in men. Several anatomic structures affect or may affect urinary continence - urethral sphincter, levator ani muscle, puboprostatic ligaments, bladder neck, endopelvic fascia, neurovascular bundle - and understanding of the anatomy of pelvic floor and urethra is crucial for satisfactory functional outcome of the procedure. Surgical techniques implemented to improve continence rates include nerve-sparing procedure, bladder neck preservation/plication, urethral length preservation, musculofascial reconstruction, puboprostatic ligaments preservation or seminal vesicle preservation. Perioperative (preoperative and postoperative) pelvic floor muscle training (PFMT) aims to shorten the duration of postoperative UI and thus, improve early continence rates postoperatively. In the review, complex information regarding anatomical, intra- and perioperative factors affecting urinary continence after RP is provided, including description of important anatomical structures, possible implications for surgical technique and evaluation of different PFMT strategies in perioperative period.