Analysis of Anatomical Factors Contributing to Urinary Incontinence After Radical Prostatectomy (Literature Review)
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Abstract
The objective: to conduct a thorough analysis of the main anatomical mechanisms underlying postprostatectomic urinary incontinence.
Collect evidence. The analysis of works published in PubMed and EmBAse on the topic of postprostratectomic urinary incontinence is performed. Initially, 212 papers were investigated. Animal studies, publications on operations for benign prostatic hyperplasia, analysis of the results of radio- and hormone therapy for prostate cancer were excluded from the review. Surgical aspects of postprostatectomic incontinence were also not considered in this work.
Synthesis of evidence. Numerous works emphasize the important influence of anatomical elements and pelvic support on the development of postprostatectomic urinary incontinence. Anatomical factors included the analysis of modern approaches to the structure of the urethral sphincter complex, the study of the supporting components of the membranous urethra, the role of fibrosis and neural structures, as well as the importance of urothelial features.
Conclusion. Anatomical support and pelvic innervation, as it turned out, are important factors in the etiology of postprostatectomic urinary incontinence. Taking into account the anatomical features of the urethral sphincter in combination with the additional study of the surgical aspects of postprostatectomic urinary incontinence can improve the level of continence in patients who have undergone radical prostatectomy.
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