urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2025-13-3-91-106urovest-1087Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEНедержание мочи и эректильная дисфункция — нежелательные последствия радикальной простатэктомии в современном миреUrinary incontinence and erectile dysfunction are significant adverse outcomes associated with radical prostatectomy in contemporary clinical practicehttps://orcid.org/0000-0001-7102-2408Брагин-МальцевА. И.Bragin-MaltsevA. I.

Андрей Игоревич Брагин-Мальцев

Кемерово

Andrey I. Bragin-Maltsev

Kemerovo

bragin_maltsev@mail.ruhttps://orcid.org/0000-0003-1050-6198КызласовП. С.KyzlasovP. S.

Павел Сергеевич Кызласов — д-р мед. наук, профессор.

Москва

Pavel S. Kyzlasov —Dr.Sc.(Med).

Moscow

dr.kyzlasov@mail.ruhttps://orcid.org/0000-0001-6869-8773ПерепечайВ. А.PerepechayV. A.

Вадим Анатольевич Перепечай — д-р мед. наук, доцент.

Ростов-на-Дону

Vadim A. Perepechay —Dr.Sc.(Med), Assoc.Prof. (Docent).

Rostov-on-Don

perepechay_va@mail.ruhttps://orcid.org/0000-0003-2125-4897ПавловВ. Н.PavlovV. N.

Валентин Николаевич Павлов —д-р мед. наук, профессор, акад. РАН.

Уфа

Valentin N. Pavlov —Dr.Sc.(Med), Full Prof., Acad. of the RAS.

Ufa

pavlov@bashgmu.ruhttps://orcid.org/0000-0001-6813-8549КазихинуровР. А.KazikhinurovR. A.

Рустем Альфритович Казихинуров — канд. мед. Наук.

Уфа

Rustem A. Kazikhinurov — Cand. Sci. (Med.)

Ufa

royuro@mail.ruhttps://orcid.org/0000-0003-1769-7759ВолокитинЕ. В.VolokitinE. V.

Евгений Викторович Волокитин

Кемерово

Evgeny E. Volokitin

Kemerovo

evgvolokitin82@mail.ruhttps://orcid.org/0000-0002-2422-7942МустафаевА. Т.MustafaevA. T.

Али Тельман оглы Мустафаев

Москва

Ali T. Mustafayev

Moscow

dr.mustafayevat@gmail.comhttps://orcid.org/0009-0004-3910-9430ИсаевО. А.IsaevO. A.

Осман Азаматович Исаев Москва

Osman A. Isaev

Moscow

iosman97@mail.ruКузбасская клиническая больница скорой медицинской помощи им. М.А. Подгорбунского; Кемеровский государственный медицинский университетРоссияPodgorbunsky Kuzbass Clinical Hospital of Emergency Medical Care; Kemerovo State Medical UniversityRussian FederationГосударственный научный центр Российской Федерации — Федеральный медицинский биофизический центр им. А.И. Бурназяна ФМБА РоссииРоссияState Research Center of the Russian Federation — Burnazyan Federal Medical Biophysical Centre of the FMBA of RussiaRussian FederationРостовская клиническая больница — Южный окружной медицинский центр ФМБА России; Ростовский государственный медицинский университетРоссияRostov Clinical Hospital — Southern District Medical Centre of the FMBA of Russia; Rostov State Medical UniversityRussian FederationБашкирский государственный медицинский университетРоссияBashkir State Medical UniversityRussian FederationКузбасская клиническая больница скорой медицинской помощи им. М.А. ПодгорбунскогоРоссияPodgorbunsky Kuzbass Clinical Hospital of Emergency Medical CareRussian Federation20253007202513391106Copyright © Брагин-Мальцев А.И., Кызласов П.С., Перепечай В.А., Павлов В.Н., Казихинуров Р.А., Волокитин Е.В., Мустафаев А.Т., Исаев О.А., 20252025Брагин-Мальцев А.И., Кызласов П.С., Перепечай В.А., Павлов В.Н., Казихинуров Р.А., Волокитин Е.В., Мустафаев А.Т., Исаев О.А.Bragin-Maltsev A.I., Kyzlasov P.S., Perepechay V.A., Pavlov V.N., Kazikhinurov R.A., Volokitin E.V., Mustafaev A.T., Isaev O.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/1087

В последние годы наблюдается рост количества впервые диагностированных случаев рака предстательной железы (РПЖ). Радикальная простатэктомия по-прежнему является золотым стандартом лечения локализованных форм рака. В связи с быстрыми темпами технического прогресса изменились и методы выполнения этой операции — от классической позадилонной простатэктомии до робот-ассистированной. Однако, несмотря на улучшение хирургических результатов и снижение показателей летальности при РПЖ, остаются актуальными такие нежелательные последствия, как недержание мочи и эректильная дисфункция. Эти состояния значительно влияют на психоэмоциональное здоровье пациентов, приводя к повышению уровня тревоги и депрессии, заставляя пациентов менять образ жизни со снижением социальной и бытовой активности. В данной работе проведён обзор и анализ литературы из отечественных и зарубежных баз данных, таких как Федеральная электронная медицинская библиотека, eLIBRARY, PubMed. В процессе исследования изучались актуальные сведения о РПЖ в современном мире, а также о недержания мочи и эректильной дисфункции после простатэктомии и их влиянии на психологическое здоровье пациентов.

In recent years, there has been an increase in the number of newly diagnosed cases of prostate cancer (PCa). Radical prostatectomy (RPE) remains the gold standard treatment for localized forms of the disease. With rapid technological advancements, surgical techniques have evolved from the classical RPE to robot-assisted approaches. However, despite improvements in surgical outcomes and reductions in mortality rates associated with PCa, adverse effects such as urinary incontinence and erectile dysfunction remain significant concerns. These complications substantially impact patients' psycho-emotional well-being, leading to increased levels of anxiety and depression, and often necessitate lifestyle modifications characterized by reduced social and daily activity. This study presents a review and analysis of literature sourced from both domestic and international databases, including the Federal Electronic Medical Library, eLIBRARY, and PubMed. The research focused on current data regarding PCa worldwide, as well as urinary incontinence and erectile dysfunction following RPE, and their effects on the psychological health of patients.

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The authors declare that there are no conflicts of interest present.