ANATOMICAL AND CLINICAL ASPECTS OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY

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dc.contributor.advisorBerczi, Csaba
dc.contributor.advisordeptDepartment of Urologyhu_HU
dc.contributor.authorLukyanova, Anna
dc.contributor.departmentDE--Általános Orvostudományi Karhu_HU
dc.contributor.opponentDrabik, Gyula
dc.contributor.opponentGyőry, Ferenc
dc.contributor.opponentdeptDebreceni Egyetem::Általános Orvostudományi Kar::Urológiai Klinikahu_HU
dc.contributor.opponentdeptDebreceni Egyetem::Általános Orvostudományi Kar::Sebészeti Intézethu_HU
dc.date.accessioned2022-08-18T08:31:48Z
dc.date.available2022-08-18T08:31:48Z
dc.date.created2022-08-11
dc.description.abstractThe prostate cancer is one of the most frequent causes of death among adult men. The treatment goal to eradicate the disease is obtained by the RP. The urinary incontinence after radical prostatectomy remains to be one of the major postoperative complications. Multiple studies have revealed risk factors influencing the possibility of the urinary incontinence after radical prostatectomy.In this work, research papers focusing on the PPI of the last ten years are revised. The work is focused on identifying the possible risk factors for PPI and on making comparison between surgical approaches of RP, reveling the latest concept of the possible prevention of the PPI.The greater age of the patients, higher BMI, existing comorbidities such Diabetes mellitus, Parkinson’s disease, spinal cord injury, shorter membranous urethra length (MUL), greater prostate size, previous TURP and smoking tend to be preoperative factors, increasing the risk of PPI. Intraoperative preservation of periprostatic anatomy, sparing of Retzius space, puboprostatic ligaments and endopelvic fascia, athermal DVC control, bladder neck reconstruction, preservation of NBV and reconstruction of the supporting structures of the prostate by applying Rocco and anterior suspending stitches are found to be effective techniques allowing fast recovering of the postoperative urinary continence.Although, the difference between main RP approaches (RARP, LRP, ORP) is investigated, the best surgical approach allowing low PPI rate and fast recovery of the urinary continence is yet to be determined.hu_HU
dc.description.courseáltalános orvoshu_HU
dc.description.courselangangolhu_HU
dc.description.degreeegységes, osztatlanhu_HU
dc.format.extent63hu_HU
dc.identifier.urihttp://hdl.handle.net/2437/336569
dc.language.isoenhu_HU
dc.subjecturinary incontinence, prostatectomyhu_HU
dc.subject.dspaceDEENK Témalista::Orvostudomány::Urológiahu_HU
dc.titleANATOMICAL AND CLINICAL ASPECTS OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMYhu_HU
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