Креативная хирургия и онкология (Jan 2017)
URINARY INCONTINENCE AFTER HIFU PROSTATE CANCER TREATMENT
Abstract
The use of HIFU for prostate cancer treatment causes a significant number of complications in the form of urinary incontinence, which responds poorly to conservative therapy and reduces the quality of life. Our results suggest the need rigorous evaluation of the indications for this method of treatment, careful patient selection excluding the evidence of obstruction, and the search for effective treatments for urinary incontinence.The study identified a set of independent prognostic risk factors for urinary incontinence, which formed the basis of a mathematical model and computer program for estimating the risk of urinary incontinence after HIFU therapy. This program can be used to determine the likelihood of disease in clinical practice, and these data are the basis of a set of measures for the prevention of urinary incontinence after HIFU therapy.
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