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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.63 (2017) >
Please use this identifier to cite or link to this item:
http://ir.fmu.ac.jp/dspace/handle/123456789/640
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| Title: | Comprehensive approach for post-prostatectomy incontinence in the era of robot-assisted radical prostatectomy |
| Authors: | Haga, Nobuhiro
Takinami, Ruriko
Tanji, Ryo
Onagi, Akifumi
Matsuoka, Kanako
Koguchi, Tomoyuki
Akaihata, Hidenori
Hata, Junya
Ogawa, Soichiro
Kataoka, Masao
Sato, Yuichi
Ishibashi, Kei
Aikawa, Ken
Kojima, Yoshiyuki |
| Affiliation: | 泌尿器科学講座 |
| Source title: | Fukushima Journal of Medical Science |
| Volume: | 63 |
| Issue: | 2 |
| Start page: | 46 |
| End page: | 56 |
| Issue Date: | 2017 |
| Abstract: | Robot-assisted radical prostatectomy (RARP) has enabled steady and stable surgical procedures due to both meticulous maneuvers and magnified, clear, 3-dimensional vision. Therefore, better surgical outcomes have been expected with RARP than with other surgical modalities. However, even in the RARP era, post-prostatectomy incontinence has a relatively high incidence as a bothersome complication. To overcome post-prostatectomy incontinence, it goes without saying that meticulous surgical procedures and creative surgical procedures, i.e., "Preservation", "Reconstruction", and "Reinforcement" of the anatomical structures of the pelvis, are most important. In addition, medication and appropriate pad usage might sometimes be helpful for patients with post-prostatectomy incontinence. However, patients who have 1) BMI > 26 kg/m(2), 2) prostate volume > 70 mL, 3) eGFR < 60 mL/min, or a 4) Charlson comorbidity index > 2 have a tendency to develop post-prostatectomy incontinence despite undergoing the same surgical procedures. It is important for patients who have a high risk for post-prostatectomy incontinence to be given information about delayed recovery of post-prostatectomy incontinence. Thus, not only the surgical procedures, but also a comprehensive approach, as mentioned above, are important for post-prostatectomy incontinence. |
| Publisher: | The Fukushima Society of Medical Science |
| Publisher (Alternative foam): | 福島医学会 |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/640 |
| Full text URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/640/1/FksmJMedSci_63_p46.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2017-15 |
| PubMed ID: | 28747618 |
| Related Page: | http://doi.org/10.5387/fms.2017-15 |
| Rights: | © 2017 The Fukushima Society of Medical Science |
| Appears in Collections: | Vol.63 (2017)
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