urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2023-11-1-150-158urovest-680Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEФакторы риска недержания мочи у пациентов, перенесших радикальную робот-ассистированную простатэктомиюRisk factors for urinary incontinence in patients undergoing radical robot-assisted prostatectomyhttps://orcid.org/0000-0003-3127-9270ШведовА. М.ShvedovA. M.

Андрей Михайлович Шведов — аспирант кафедры урологии,

г. Москва

Andrey M. Shvedov — M.D.; Postgrad. student, Dept. of Urology, 

Moscow

dr.shvedov135@mail.ruhttps://orcid.org/0000-0003-4511-5998КолонтаревК. Б.KolontarevK. B.

Константин Борисович Колонтарев — доктор медицинских наук; профессор кафедры урологии,

г. Москва

Konstantin B. Kolontarev — M.D., Dr.Sc.(Med); Prof., Dept. of Urology,

Moscow

kb80@yandex.ruhttps://orcid.org/0000-0002-6835-0117БормотинА. В.BormotinA. V.

Алексей Владимирович Бормотин — кандидат медицинских наук; доцент кафедры урологии,

г. Москва

Alexey V. Bormotin — M.D., Cand.Sc.(Med); Assoc.Prof., Dept. of Urology,

Moscow

avbormotin@icloud.comhttps://orcid.org/0009-0008-2961-1688ДьяковВ. В.DyakovV. V.

Владимир Валентинович Дьяков — кандидат медицинских наук; доцент кафедры урологии,

г. Москва

Vladimir V. Dyakov — M.D., Cand.Sc.(Med); Assoc.Prof., Dept. of Urology, 

Moscow

diakovvv@yandex.ruhttps://orcid.org/0000-0002-2394-8123ВитославскийА. А.VitoslavskyA. A.

Антон Алексеевич Витославский — ординатор кафедры урологии,

г. Москва

Anton A. Vitoslavsky — Resident, Dept. of Urology,

Moscow

enot6-4@yandex.ruhttps://orcid.org/0000-0002-6096-5723ПушкарьД. Ю.PushkarD. Yu.

Дмитрий Юрьевич Пушкарь — доктор медицинских наук, профессор, академик РАН; заведующий кафедрой урологии,

г. Москва

Dmitry Yu. Pushkar — M.D., Dr.Sc.(Med), Full Prof., Academician of the RAS; Head, Dept. of Urology,

Moscow

pushkardm@mail.ruМосковский государственный медико-стоматологический университет им. А. И. ЕвдокимоваРоссияYevdokimov Moscow State University of Medicine and DentistryRussian Federation202308042023111150158Copyright © Шведов А.М., Колонтарев К.Б., Бормотин А.В., Дьяков В.В., Витославский А.А., Пушкарь Д.Ю., 20232023Шведов А.М., Колонтарев К.Б., Бормотин А.В., Дьяков В.В., Витославский А.А., Пушкарь Д.Ю.Shvedov A.M., Kolontarev K.B., Bormotin A.V., Dyakov V.V., Vitoslavsky A.A., Pushkar D.Y.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/680Введение

Введение. Рак предстательной железы (РПЖ) относится к одним из самым распространённых онкологических заболеваний, и тактика его лечения напрямую зависит от стадии. «Золотым» стандартом при локализованном раке простаты является выполнение оперативного вмешательства в объёме радикальной робот-ассистированной простатэктомии (РАРПЭ). Пациенты часто имеют высокие требования к операции и обеспокоены развитием постоперационных осложнений. Одним из наиболее частых функциональных осложнений после данной операции является недержание мочи (НМ), механизм формирования которого до конца не изучен. В клинических исследованиях описано множество предрасполагающих к инконтинеции факторов, однако полученные результаты часто оказываются противоречивы, что требует более глубокого изучения вопроса.

Цель исследования

Цель исследования. Выявить предрасполагающие факторы недержания мочи у пациентов, перенесших радикальную робот-ассистированную простатэктомию.

Материалы и методы

Материалы и методы. Были проанализированы результаты поиска по научным базам данных PubMed, Medline, Web of Science, Embase, Cochrane Library and PEDro, Wang-fang Database и CNKI, Edline по запросам «робот-ассистированная простатэктомия», «радикальная простатэктомия», «инконтиненция», «предикторы», «недержание мочи».

Результаты

Результаты. Изучены предрасполагающие факторы НМ после РАРПЭ. В обзоре подробно рассмотрены и проиллюстрированы все известные предрасполагающие факторы НМ и показана противоречивость полученных данных у разных исследователей, что лишний раз подчёркивает необходимость дальнейшего изучения этого вопроса.

Заключение

Заключение. Несмотря на длительную историю изучения постоперационных осложнений РАРПЭ, до сих пор не получено достоверных и непротиворечивых данных о всех рисках НМ после РАРПЭ, поэтому в данном литературном обзоре проанализированы и собраны результаты новейших исследований последних лет. 

Introduction

Introduction. Prostate cancer (PCa) is one of the most common cancers among men, and the tactic to treat this disease stage-depends directly. The “gold” standard for localized PCa is radical robot-assisted prostatectomy (RARP). Patients often have excessive surgery requirements and are concerned about the development of postoperative complications. One of the most frequent functional complications after this operation is urinary incontinence (UI), whose formation mechanism is not fully understood. Clinical studies have described many UI predisposing factors, but the results obtained are often contradictory, which requires a repeated and deeper study of the issue.

Objective

Objective. To identify predisposing factors for urinary incontinence in patients undergoing radical robot-assisted prostatectomy.

Materials & methods

Materials & methods. The search results for the scientific databases PubMed, Medline, Web of Science, Embase, Cochrane Library and PEDro, Wang-fang Database and CNKI, Edline were analyzed for the queries "robot-assisted prostatectomy", "radical prostatectomy", "incontinence", "predictors", "urinary incontinence".

Results

Results. The predisposing factors to UI after RARP were studied. The review discusses and illustrates in detail all known predisposing factors for UI and shows the inconsistency of the data obtained by different researchers, which once again emphasizes the need for further study of this issue.

Conclusion

Conclusion. Despite the long history of studying postoperative complications of RARP, reliable and consistent data on all the risks of UI after RARP have not yet been obtained. Therefore, this literature review summarizes and analyzes the results of the latest research in recent years. 

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