PACÍK, Dalibor and Michal FEDORKO. Literature review of factors affecting continence after radical prostatectomy. Saudi Medical Journal. Riyadh: Saudi Arabian Armed Forces Hospital, 2017, vol. 38, No 1, p. 9-17. ISSN 0379-5284. Available from: https://dx.doi.org/10.15537/smj.2017.1.15293.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30218 General and internal medicine
Country of publisher Saudi Arabia
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.055
RIV identification code RIV/00216224:14110/17:00096107
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.15537/smj.2017.1.15293
UT WoS 000395632900002
Keywords (in Czech) kontinence; karcinom prostaty; radikální prostatektomie
Keywords in English continence; prostate cancer; radical prostatectomy
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 20/3/2018 15:51.
Abstract
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.
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