Facteurs prédictifs de l’incontinence urinaire après une prostatectomie radicale: Revue systématique
Mots-clés :
Cancer prostatique - Prostatectomie radicale - Incontinence urinaire- Facteur de risqueRésumé
But : Déterminer les facteurs prédictifs d’incontinence urinaire (IU) après une prostatectomie radicale (PR) pour cancer de la prostate localisé.
Méthodes: Revue de la littérature française et anglaise entre 1996 et 2015 traitant les facteurs de risque d’IU après PR.
Résultats: Nous avons retenus 46 articles à analyser. Les facteurs de risque préopératoire d’IU retrouvés étaient l’âge, l’IMC, les antécédents de chirurgie prostatique, le déficit sphinctérien, l’instabilité vésicale, la qualité de la technique chirurgicale (préservation des bandelettes neuro-vacsulaire, perte sanguine), la morphologie de la prostate sur l’IRM et l’importance de la perte d’urine après l’ablation de la sonde vésicale.
Conclusion: Plusieurs facteurs de risque ont été incriminés d’ordre clinique (âge, obésité, antécédents de chirurgie prostatique, dysfonction érectile préopératoire), urodynamique, radiologique (la forme de l’apex prostatique) et autres dépendants de la technique chirurgicale.
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Références
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