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首页> 外文期刊>Urology >Concurrent assessment of obstructive/irritative urinary symptoms and incontinence after radical prostatectomy.
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Concurrent assessment of obstructive/irritative urinary symptoms and incontinence after radical prostatectomy.

机译：同时进行阻塞性/刺激性尿路症状和前列腺癌根治术后尿失禁的评估。

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OBJECTIVES: To concurrently evaluate urinary obstructive symptoms and incontinence in men after radical prostatectomy and to determine the effects of these components on urinary impairment and satisfaction. METHODS: Two hundred twenty-eight men after radical prostatectomy were age-matched and zip code-matched to a random sample of 228 men without prostate cancer. Urinary incontinence was assessed by the urinary function domain of the Prostate Cancer Index, and obstructive symptoms were assessed by the American Urological Association Symptom Index. Regression models were constructed to evaluate the impact of obstructive and incontinence symptoms on urinary impairment and satisfaction. RESULTS: The control group reported greater urinary continence (P <0.0001) and less impairment (P <0.0001) than the prostatectomy group, but a difference was not observed for obstructive symptoms. Obstructive urinary symptoms were associated with impairment for both the prostatectomy and the control groups (P <0.0001), and incontinence symptoms were more strongly associated with impairment in the prostatectomy group than in the control group (P = 0.01). Greater obstructive/irritative and incontinence symptoms were associated with lower satisfaction (P <0.0001). CONCLUSIONS: Urinary incontinence was more common in the radical prostatectomy group, but differences were not seen for obstructive symptoms. In addition to incontinence symptoms, obstructive symptoms were associated with urinary impairment and dissatisfaction in the prostatectomy group, suggesting that these symptoms should also be assessed after radical prostatectomy.
机译：目的：同时评估男性前列腺癌根治术后的尿路梗阻症状和大小便失禁，并确定这些成分对尿路损害和满意度的影响。方法：对228例无前列腺癌的男性患者进行年龄匹配和邮政编码匹配的年龄匹配和邮政编码匹配。尿失禁通过前列腺癌指数的泌尿功能域进行评估，阻塞性症状通过美国泌尿科协会症状指数进行评估。构建回归模型以评估阻塞性和失禁症状对尿液损害和满意度的影响。结果：与前列腺切除术组相比，对照组的尿失禁率更高（P <0.0001），损伤程度更低（P <0.0001），但是阻塞性症状没有发现差异。前列腺切除术和对照组的梗阻性泌尿症状均与损伤相关（P <0.0001），前列腺切除术组与对照组相比，尿失禁症状与损伤的相关性更强（P = 0.01）。较大的阻塞性/刺激性和失禁症状与较低的满意度相关（P <0.0001）。结论：根治性前列腺切除术组尿失禁更为常见，但阻塞性症状未见差异。在前列腺切除术组中，除尿失禁症状外，阻塞性症状还伴有尿液损害和不满，这表明在前列腺癌根治术后也应评估这些症状。

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