根治性前列腺切除是治疗局限性前列腺癌的主要方法,已广泛被人们所接受,但这种手术潜在的并发症是尿失禁,随着经验的积累和技术的改进,这种并发症已逐渐减少,Ramon从1983年到1988年共做了这种手术484例,病人年龄46～82岁(平均68岁),102例是在TURP或开放性单纯前列腺切除后施行的,106例做了保留神经血管束的根治性前列腺切除,术后半年434例(90%)能完全控制排尿,50例(10%)发生压力性尿失禁,没有完全性尿失禁病人,术后1年随访377例(95%)已 Radical prostatectomy is the mainstay of treatment for localized prostate cancer and has been widely accepted, but the potential complication of this procedure is urinary incontinence, which has diminished as experience accumulates and technology improves , Ramon performed a total of 484 such procedures from 1983 to 1988, with patients aged 46-82 years (mean, 68 years), 102 after TURP or open prostatectomy alone, and 106 had preserved nerves Vascular resection was performed in 434 patients (90%) six months after operation. Pressure urinary incontinence was not found in 50 patients (10%), patients without complete urinary incontinence were followed up for 1 year and 377 patients (95% %) Already