Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press137610.17650/1726-9776-2021-17-1-159-166REVIEWОБЗОРUrinary incontinence after radical prostatectomy: prognostic factorsНедержание мочи после радикальной простатэктомии: факторы прогнозаhttps://orcid.org/0000-0002-2798-368XAboyanI. A.АбоянИ. А.
Russian Federation

70/3 Dolomanovskiy Pereulok, Rostov-on-Don 344011.

Абоян Игорь Артемович.

344011 Ростов-на-Дону, переулок Доломановский, 70/3.

aboyan@center-zdorovie.ruhttps://orcid.org/0000-0001-8789-4235OrlovYu. N.ОрловЮ. Н.
Russian Federation

70/3 Dolomanovskiy Pereulok, Rostov-on-Don 344011.

Орлов Юрий Николаевич.

344011 Ростов-на-Дону, переулок Доломановский, 70/3.

orlovurolog@gmail.comhttps://orcid.org/0000-0002-9468-134XShevchenkoA. N.ШевченкоА. Н.
Russian Federation

63 14th Line St., Rostov-on-Don 344037.

Шевченко Алексей Николаевич.

344037 Ростов-на-Дону, 14-я линия, 63.

alexshew@mail.ruhttps://orcid.org/0000-0001-6468-5983PakusS. M.ПакусС. М.
Russian Federation

70/3 Dolomanovskiy Pereulok, Rostov-on-Don 344011.

Пакус Сергей Михайлович.

344011 Ростов-на-Дону, переулок Доломановский, 70/3.

sergejj.pakus@rambler.ruhttps://orcid.org/0000-0003-1103-4532HasigovA. V.ХасиговА. В.
Russian Federation

40 Pushkinskaya St., Vladikavkaz 362019, Republic of North Ossetia.

Хасигов Алан Владимирович.

Республика Северная Осетия, 362019 Владикавказ, Пушкинская ул., 40.

alan_hasigov@mail.ruClinical and Diagnostic Center “Zdorovie”, Rostov-on-DonКлинико-диагностический центр «Здоровье» г. Ростова-на-ДонуNational Medical Research Center of Oncology, Ministry of Health of RussiaНациональный медицинский исследовательский центр онкологии Минздрава РоссииNorth Osetian State Medical Academy, Ministry of Health of RussiaСеверо-Осетинская государственная медицинская академия Минздрава России060520211711591660112202018122020https://oncourology.abvpress.ru/oncur/article/view/1376

Prostate cancer is the most common urological malignancy in men. Radical prostatectomy (RPE) ensures high rates of relapse-free survival. Urinary incontinence is a frequent complication after RPE that significantly reduces the quality of life and leads to social maladaptation of the patient. Advances in pelvic anatomy, optimization of surgical techniques, and implementation of laparoscopic and robot-assisted surgery have improved functional results of RPE. However, the increasing incidence of prostate cancer leads to an increase in the number of patients after RPE and, accordingly, patients with urinary incontinence. Therefore, issues related to etiology, pathogenesis, and prevention of urinary incontinence after RPE remain highly relevant. Numerous publications suggest that etiology of urinary incontinence after RPE is multifactorial. The purpose of this literature review is to provide an overview of studies on urinary incontinence after RPE. We analyze the role of preoperative and intraoperative parameters as possible risk factors for urinary incontinence after RPE.

Рак предстательной железы — наиболее распространенное онкоурологическое заболевание у мужчин. Радикальная простатэктомия (РПЭ) обеспечивает высокие показатели безрецидивной выживаемости. Частым осложнением РПЭ является недержание мочи, приводящее к значительному снижению качества жизни и социальной дезадаптации пациентов. Благодаря научному прогрессу в области анатомии таза, оптимизации хирургической техники, внедрению лапароскопической и робот-ассистированной хирургии улучшились функциональные результаты РПЭ. Однако существующая в мире устойчивая тенденция роста заболеваемости раком предстательной железы несомненно ведет к увеличению числа пациентов, подвергнутых РПЭ, и как следствие, к увеличению числа мужчин с недержанием мочи. В связи с этим вопросы, касающиеся этиологии, патогенеза и профилактики недержания мочи после РПЭ остаются крайне актуальными. Согласно многочисленным публикациям этиология недержания мочи после РПЭ является многофакторной.

В настоящем обзоре представлен анализ результатов исследований, посвященных недержанию мочи после РПЭ. Рассматриваются Доказательства роли предоперационных и интраоперационных параметров в качестве возможных факторов развития недержания мочи.

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