膀胱镜下尿道前壁加强法对前列腺癌根治术后尿控的影响

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Abstract Objective To explore the effect of anterior urethral wall reconstruction on urinary control after radical prostate cancer. Methods Clinical data of 80 prostate cancer patients admitted to Nantong First People’s Hospital of Jiangsu Province from May 2018 to August 2020 were retrospectively analyzed, according to the treatment methods, the patients were divided into observation group 34 cases (anterior wall strengthening method) and control group 46 cases (anterior and posterior wall strengthening method). The clinical data of the two groups were collected, and the prostate volume, pathological stage, Gleason score and pathological stage were evaluated. At the same time, the recovery of urinary control at 1, 3, 6, and 12 months after operation was followed up by telephone, and the difference of the above data between the two groups was analyzed. Results Operation time, intraoperative blood loss, urethral reconstruction time of urethral reconstruction time, and indwelling catheterizationin time in observation group were significantly shorter than those in control group, while prostate volume in observation group was significantly larger than control group, and the differences were statistically significant (P ＜ 0.05). There was no statistically significant difference in the incidence of postoperative complications between the two groups (P ＞ 0.05); the recovery rate of urinary control one month after operation in the observation group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05), but there was no significant difference in the recovery rate of urinary control 3, 6 and 12 months after operation between the two groups (P ＞ 0.05). Conclusion Enhancing the anterior wall of the urethra under cystoscopy can improve the recovery of early postoperative urinary control, and may shorten the operation time and intraoperative bleeding. The choice of surgical procedure may be affected by the volume of the prostate.

Key words： Prostate volume Anterior urethral wall reconstruction Prostate cancer Radical resection Urinary control

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	SONG Tianmou ZHENG Bing CHU Kaiyun

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SONG Tianmou ZHENG Bing CHU Kaiyun. Effect of anterior urethral wall reconstruction on urinary control after radical prostate cancer[J]. 中国医药导报, 2022, 19(15): 83-86.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I15/83

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