Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press7610.17650/1726-9776-2011-7-1-37-44PROSTATE CANCERРАК ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫTECHNICAL CHARACTERISTICS OF RADICAL PROSTATECTOMY FOR EARLY CONTINENCE RECOVERYТЕХНИЧЕСКИЕ ОСОБЕННОСТИ ВЫПОЛНЕНИЯ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИ ДЛЯ РАННЕГО ВОССТАНОВЛЕНИЯ КОНТИНЕНЦИИPerepechayV. A.ПерепечайВ. А.
Russian Federation
byalekseev@mail.ruDimitriadiS. N.ДимитриадиС. Н.
Russian Federation
byalekseev@mail.ruAlekseevB. Ya.АлексеевБ. Я.
Russian Federation
byalekseev@mail.ruSouthern District Medical Center, Federal Biomedical Agency of Russia, Rostov-on-DonФГУ Южный окружной медицинский центр ФМБА России,Ростов-на-ДонуP.A. Herzen Moscow Oncology Research Institute, Russian Agency for Health CareФГУ МНИОИ им. П.А. Герцена Минздравсоцразвития РФ300320117137442607201426072014https://oncourology.abvpress.ru/oncur/article/view/76

The paper presents the technical characteristics of radical prostatectomy (RPE) for early continence recovery in patients with prostate cancer. Restoration of the fascial structures of the small pelvis after RPE has been found to promote early urinary continence recovery. A method for total restoration of the fascial structures of the small pelvis (an operation after A. Tewari) and a procedure for performing posterior suspension of urethrocystic neoanastomosis in Denonvilliers’ fascia length deficit are considered, which show the similar results in the time of continence recovery.

Представлены технические особенности выполнения радикальной простатэктомии РПЭ для раннего восстановления континенции у больных раком предстательной железы. Установлено, что раннему восстановлению континенции способствует восстановление фасциальных структур малого таза после РПЭ. Рассмотрены метод тотального восстановления фасциальных структур малого таза (операция А. Tewari) и способ осуществления задней суспензии уретроцистонеоанастомоза при дефиците длины фасции Денонвилье, характеризующиеся аналогичными результатами относительно сроков восстановления континенции.

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