第12巻 2016年10月　第4号

■綜説

前立腺全摘術後尿失禁のマネジメント
鈴木　康友¹, 近藤　幸尋^2
1日本医科大学千葉北総病院泌尿器科
²日本医科大学泌尿器科学

The Management of Urinary Incontinence after Radical Prostatectomy
Yasutomo Suzuki¹ and Yukihiro Kondo^2
1)Department of Urology, Nippon Medical School Chiba Hokusoh Hospital
²⁾Department of Urology, Nippon Medical School

The management of urinary incontinence after radical prostatectomy is important because it decreases the quality of life of patients. This review article describes the current status of treatment for urinary incontinence after radical prostatectomy.
Early post-radical prostatectomy incontinence is usually managed by conservation therapy. However, we consider surgical therapy for consistent or extreme urinary incontinence. The gold standard of surgical therapy is an artificial urethral sphincter and this is now covered by insurance in Japan. On the other hand, urethral slings that comprise the standard surgical approach to managing moderate urinary incontinence in other countries are not covered by insurance in Japan. Therefore, this article describes alternative therapies.

日医大医会誌 2016; 12(4), 127-132

Key words
urinary incontinence, post-radical prostatectomy, surgical therapies

Correspondence to
Yasutomo Suzuki, MD, PhD, Department of Urology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai Chiba 270-1694, Japan
E-mail：yasu17@nms.ac.jp

受付：2016年2月22日　受理：2016年5月12日