[Download] "Improving Outcomes Post-Radical Prostatectomy: Nerve-Sparing Status and Urinary Continence (Commentary) (Clinical Report)" by Canadian Urological Association Journal (CUAJ) # eBook PDF Kindle ePub Free

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eBook details

• Title: Improving Outcomes Post-Radical Prostatectomy: Nerve-Sparing Status and Urinary Continence (Commentary) (Clinical Report)
• Author : Canadian Urological Association Journal (CUAJ)
• Release Date : January 01, 2009
• Genre: Health & Fitness,Books,Health, Mind & Body,
• Pages : * pages
• Size : 68 KB

Description

Author(s): Christopher G. Morash, MD, FRCSC (corresponding author) [1,2], Ilias Cagiannos, MD, FRCSC [1], Anthony J. Bella, MD, FRCSC [1,3] Postoperative urinary incontinence following radical prostatectomy is an increasingly important health outcome. In an era in which the burden of treatment for prostate cancer is being closely examined in terms of harm from potential overtreatment, it is important to study ways to reduce the incidence of this complication. Incontinence often results in significant stress and anxiety for patients and their families, and a significant use of resources, including incontinence products, further surgical intervention and patient and surgeon time. For most individuals, incontinence has a greater negative impact on quality of life than even erectile dysfunction. Several prior publications have looked at whether nerve sparing at radical prostatectomy contributes to continence rates, albeit with inconsistent results.[sup.1] Limitations of this literature include mostly retrospective data collection, the lack of an objective method of measuring the quality of nerve preservation itself, variable definitions of continence and its pathophysiology, lack of baseline data and a lack of objective measures of urethral and sphincter trauma intra-operatively.

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