[Prevention of incontinence after radical prostatectomy].
OBJECTIVE
To discuss the effect of urine control after radical retropubic prostatectomy by preserve the membranous part of sphincter urethrae and the neurovascular bundle, or to rebuild the bladder neck.


METHODS
The radical retropubic prostatectomy was performed on a total of 32 cases of prostate cancer. We preserve the membranous part of sphincter urethrae and the neurovascular bundle lateral to the prostate. We evaginate the posterior wall of the bladder adequately and make an additional folding stitch to rebuild the bladder neck.


RESULTS
The follow up is of 6-72 months. All patients could void without difficulty, no tumor recurrence and only 2 cases occurred slight incontinence. Other 30 cases regained the ability of controlling their urinations within 6 months.


CONCLUSIONS
The incontinence after radical retropubic prostatectomy could be reduced by the method of preserving the membranous part of sphincter urethrae and preserving the neurovascular bundle lateral to the prostate in operation. It could also be avoided by evaginate the posterior wall of the bladder adequately and make an additional folding stitch to the bladder neck.
Liu
Ding-yi
DY
Department of Urology, Ruijin Hospital, Shanghai Jiaotong University Medical College, Shanghai 200025, China. eve_liurong0828@yahoo.com.cn
Tang
Qi
Q
Wang
Ming-wei
MW
Liu
Shi-xiong
SX
Wang
Jian
J
Zhou
Yan-feng
YF
Wu
Yu-xuan
YX
Zhou
Wen-long
WL
Zhu
Yu
Y
Zhang
Chong-yu
CY
D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000209:etiology / Q000517:prevention & control*