DOI: https://doi.org/10.30841/2307-5090.1.2019.172864

Анализ анатомических факторов, способствующих недержанию мочи после радикальной простатэктомии (Обзор литературы)

С. В. Головко

Аннотация


Цель исследования: проведение тщательного анализа основных анатомических механизмов, лежащих в основе постпростатектомического недержания мочи.

Сбор доказательств. Выполнен анализ работ, опубликованных в PubMed и EmBAse по теме постпростатектомического недержания мочи. Первоначально было исследовано 212 работ. Исследования на животных, публикации по операциям по поводу доброкачественной гиперплазии предстательной железы, анализ результатов радио- и гормонотерапии рака предстательной железы были исключены из обзора. Хирургические аспекты постпростатектомического недержания мочи тоже не рассматривались в данной работе.

Синтез доказательств. Многочисленные работы подчеркивают важное влияние анатомических элементов и тазовой поддержки на развитие постпростатектомического недержания мочи. Анатомические факторы включали анализ современных подходов к структуре уретрального сфинктерного комплекса, изучение поддерживающих компонентов мембранозной уретры, роли фиброза и невральных структур, а также значение уротелиальных особенностей.

Заключение. Анатомическая поддержка и тазовая иннервация, как выяснилось, являются важными факторами в этиологии постпростатектомического недержания мочи. Учет анатомических особенностей уретрального сфинктера в сочетании с дополнительным изучением хирургических аспектов постпростатектомического недержания мочи способны улучшить уровень континенции у больных, перенесших радикальную простатэктомию.

Ключевые слова


уретральный сфинктер; простатэктомия; недержание мочи; фиброз; иннервация

Полный текст:

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Литература


Ficarra V, Novara G, Rosen RC, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot assisted radical prostatectomy. Eur Urol 2012; 62: 405-17.

Lepor H, Kaci L, Xue X. Continence following radical retropubic prostatectomyusing self-reporting instruments. J Urol 2004; 171: 1212-5.

Loughlin KR, Prasad MM. Post-prostatectomyurinary incontinence: a confluence of 3 factors. J Urol 2010; 183: 871-7.

Koraitim MM. The male urethral sphincter complex revisited: an anatomical concept and its physiological correlate. J Urol 2008; 179: 1683-9.

Stolzenburg JU, Kallidonis P, Hicks J, et al. Effect of bladder neck preservation during endoscopic extraperitoneal radical prostatectomy on urinary incontinence. Urol Int 2010; 85: 135-8.

Soljanic I, Bauer RM, Becker AJ, et al. Is a wider angle of the membranous urethra associated with incontinence after radical prostatectomy? World JUrol 2014; 32: 1375-83.

Selli C, De Antoni P, Moro U, Macchiarella A, Glannarini G, Crisci A. Role of bladder neck preservation in the urinary continence following radical retropubic prostatectomy. Scand J Urol Nephrol 2004; 38: 32-37.

Steiner MS. The puboprostatic ligament and the male urethral suspensory mechanism: an anatomic study. Urology 1994; 44: 530-4.

Zhang C, Ding ZH, Li GX, Wang YN, Hu YF. Perirectal fascia and spacies: annulur distribution pattern arround the mesorectum. Dis Colon Rectum 2010; 53: 1315-22.

Richardson AC. The rectovaginal septum revisited: its relationship to rectocele and its importance to rectocele repair. Clin Obstet Gynecol 1993; 36: 976-83.

Kirshner-Hermans R, Wein B, Niehaus S, Schaefer W, Jakse G. The contribution of magnetic resonance imaging of the pelvic floor to the understanding of urinary incontinence. Br J Urol 1993; 72: 715-8.

Gosling JA, Dixon GS, Critchley HO, Thompson SA. A comparative study of the human external sphincter and periurethral levator ani muscles. Br J Urol 1981; 53: 35-41.

Tan G, El Douaihu Y, Te AE, Tewari AK. Sientific and technical advances in continence recovery following radical prostatectomy. Exp Rev Med Dev 2009; 431-53.

De Ridder D, Rehder P. The Ad-Vance male sling: anatomic features in relation to mode of action. Eur J Suppl 2011; 10: 383-9.

Tan G, Jhaveri JK, Tevary AK. Anatomic restoration technique: a biomechanics-based approach for early continence recovery after minimally invasive radical prostatectomy. Urology 2009; 74: 492-496.

Hurtes X, Roupret M, Vaessen C, et al. Anterior suspension combined with posterior reconsruction during robotassisted laparoscopic prostatectomy improves early return of urinary continence: a prospective randomized multicetre trial. BJU Int 2012; 110:875-83.

Stolzenburg JU, Liatsikos EN, Rabenalt R, et al. Nerve sparing endoscopic extraperitoneal radical prostatectomy-effect of puboprostatic ligament preservation on early continence and positive margins. Eur Urol 2006; 49: 103-11.

Schlomm T, Heinzer H, Steuber T, et al. Full functional-lenghth urethral sphincter preservation during radical prostatectomy. Eur Urol 2011; 60: 320-9.

Rocco F, Carmignani L, Acquati P, et al. Early continance recovery after open radical prostatectomy with restoration of the posterior aspect of the rhabdosphincter. Eur Urol 2007; 52: 376-83.

Nguyen MM, Kamoi K, Stein RJ, et al. Early continence outcomes of posterior musculofascial plate reconstruction during robotic and laparoscopic prostatectomy. BJU Int 2008; 101: 1135-9.

Kim IY, Hwang EA, Mmeje C, Ercolani M, Lee DH. Impact of posterior urethral plate repair on continence following robot-assisted laparoscopic radical prostatectomy. Yonsei Med J 2010; 51: 427-31.

DeLancey JO. Sructural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 1994; 170: 1713-20.

Burnett AL, Mostwin JL. In sity anatomical study of the male utethral sphincter complex: relevance to continence preservation following major pelvic surgery. J Urol 1998; 160: 1301-6.

Rehder P, Gozzi C. Transobturator sling suspension for male urinary incontinence including post-radical prostatectomy. Eur Urol 2007; 52: 860-6.

Gozzi C, Becker AJ, Bauer R, Bastian PJ. Early results of transobturator sling suspension for male urinary incontinence following radical prostatectomy. Eur Urol 2008; 54: 960-1.

Rehder P, Haab F, Cornu JN, Gozzi C, Bauer RM. Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. Eur Urol 2012; 62: 140-5.

Suskind AM, DeLancey JOL, Hussain HK, Montgomery JS, Latini JM, Cameron AP. Dynamic MRI evaluation of urethral hypermobility post-radical prostatectomy. Neurourol Urodynam 2014; 33: 312-5.

Tuygun C, Imamoglu A, Keyik B, Alisir I, Yorubulut M. Significance of fibrosis around and/or at external urinary sphincter on pelvic magnetic resonance imaging in patients with postprostatectomy incontinence. Urology 2006; 68: 1308-12.

Sacco E, Prayer-Galetty T, Pinto F, et al. Urinary incontinence after radical prostatectomy: incidence of definition, risk factors and temporal trend in a large series with a long-term follow-up. BJU Int 2006; 97: 1234-41.

Tanagho EA, Schmidt RA, de Araujo CG. Urinary striated sphincter: what is it supply? Urology 1982; 20: 415-7.

Karam I, Droupy S, Abd-Alsamad I, et al. The precise location and nature of the nerves to the male humans urethra: histological and immunohistochemical studies with three-dimensional reconstruction. Eur Urol 2005; 48: 858-64.

Karam I, Moudouni S, Droupi S, Abd-Alsamad I, Uhl JF, Delmas V. The structure and innervation of the male urethra: histological and immunohistochemical studies with three-dimensional reconstruction. J Anat 2005; 206: 395-403.

Akita K, Sakamoto H, Sato T. Origins and courses of the nervous branches to the male urethral sphincter. Surg Radiol Anat 2003; 25: 387-92.

Murphy DG, Costello AJ. How can the autonomic nervous system contribute to urinary continence following radical prostatectomy? A “boston-like” conundrum. Eur Urol 2013; 63: 445-7.

Gosling JA, Dixon JS. The structure and innervation of smooth muscle in the wall of the bladder neck and the proximal urethra. Br J Urol 1975; 47: 549-58.

Strasser H, Bartsch G. [Anatomic basis for the innervation of the male pelvis]. Urologe A 2004; 43: 128-32.

Catarin MV, Manzano GM, Nobreda JA, Almeida FG, Srougi M, Bruschini H. The role of membranous urethra afferent autonomic innervation in the continence mechanism after nerve sparing radical prostaectomy: a clinical and prospective study. J Urol 2008; 180: 2527-31.

Ozdemir MB, Eskicorapci SY, Baydar DE, Cumhur M, Onderoglu S, Ozen H. A cadaver histological investigation of the prostate with three-dimensional reconstruction for better results in continence and erectile function after radical prostatectomy. Prostate Cancer Prostatic Dis 2007; 10: 77-81.

Kaye DR, Hyndman ME, Segal RL, et al. Urinary outcomes are significantly affected by nerve-sparing qualily during radical prostatectomy. Urology 2013; 82: 1348– 53.

Burkhard FC, Kessler TM, Fleischmann A, Thalmann GN, Schumacher M, Studer UE. Nerve sparing open radical prostatectomy-does it have an impact on urinary continence? J Urol 2006; 176: 189-95.

Marien TP, Lepor H. Does a nervesparing technique or potency affect continence after open retropubic prostatectomy? BJU Int 2008; 102: 1581-4.

Costello AJ, Brooks M, Cole OJ. Anatomical studies of the neuro-vascular bundle and cavernosal nerves. BJU Int 2004; 94: 1071-6.

Takenaka A, Murakami G, Matsubara A, Han SH, Fujisawa M. Variation in course of cavernosus nerve with special reference to details of topographic relationship near prostatic apex: histologic study using male cadavers. Urology 2005; 65: 136-42.

Nelson CP, Montie JE, McGuire EJ, Wedemeyer G, Wei JT. Intraoperative nerve stimulation with measurement of urethral sphincter pressure changes during radical retropubic prostatectomy: a feasibility study. J Urol 2003; 169: 2225-8.

Montorsi F, Salonia A, Suardi N, et al. Improving the preservation of the urethral sphincter and neurovascular bundles during open radical retropubic prostatectomy. Eur Urol 2005; 48: 938-45.

Park JM, Bloom DA, McGuire EJ. The guarding reflex revisited. Br JUrol 1997; 80: 940-45.




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