31例腹腔镜前列腺癌根治术后尿失禁治疗体会

The treating experience of 31 patients with urinary incontinence after laparoscopic radical prostatectomy

目的探讨围术期康复训练结合药物治疗对腹腔镜下前列腺癌根治术后尿失禁恢复的影响。方法回顾性分析31例腹腔镜前列腺癌根治术后尿失禁患者围术期临床资料。结果 91例接受腹腔镜前列腺癌根治术的患者中拔除尿管后即刻发生尿失禁者31例。通过康复训练、药物治疗以及心理辅导,拔管后7d有9例恢复尿控功能,拔管后1个月有12例恢复尿控功能,拔管后6个月有29例恢复尿控功能。结论腹腔镜下前列腺癌根治术后早期尿失禁发生率高,围术期尿控功能康复训练结合药物治疗可有效改善患者控尿功能。

Objective To analysis influence of perioperative function rehabilitation training combined with drug treatment on uri- nary incontinence recovery after laparoscopic radical prostatectomy. Methods The clinical data of 3] cases of incontinence after lap- aroscopic radical prostatectomy were retrospectively analyzed. Early functional rehabilitation training, drugs and mental guidance were applied to the patients. Results 31 out of 91 cases who receiving the laparoscopic radical prostatectomy immediately suffered from urinary incontinence when removing catheter. 9 cases rehabilitated after 7 days, 12 cases rehabilitated after 1 months,and 29 cases rehabilitated after 6 months. Conclusion Urinary incontinence occurs more in the early laparoscopic radical surgery,perioper- ative function rehabilitation training combined with drug treatment could effectively improve the function of patients with urinary continence.