{"id":2999,"date":"2021-03-06T16:21:49","date_gmt":"2021-03-06T15:21:49","guid":{"rendered":"https:\/\/www.techniciendesante.fr\/?p=2999"},"modified":"2024-01-10T15:26:50","modified_gmt":"2024-01-10T14:26:50","slug":"prostatectomie-effets-secondaires-incontinence","status":"publish","type":"post","link":"https:\/\/www.techniciendesante.fr\/magasins\/prostatectomie-effets-secondaires-incontinence\/","title":{"rendered":"Prostatectomie : effets secondaires et incontinence"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center\" style=\"max-width:1300px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-animated\" data-animationType=\"fadeInDown\" data-animationDuration=\"1.3\" data-animationOffset=\"bottom-in-view\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-1{margin-top:10px!important;margin-bottom:15px!important;}}@media only screen and (max-width:640px) {.fusion-title.fusion-title-1{margin-top:10px!important;margin-bottom:10px!important;}}<\/style><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"font-size:60px;margin-top:10px;margin-bottom:15px;\"><h2 class=\"title-heading-center\" style=\"margin:0;font-size:1em;\"><p style=\"text-align: center\"><strong>Prostatectomie :<\/strong> effets secondaires et incontinence<\/p><\/h2><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;margin-bottom : 0px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-right : 25px !important;margin-right : 0px;padding-left : 25px !important;margin-left : 0px;}}<\/style><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 60px;margin-top : 20px;padding-right : 0px;padding-bottom : 60px;margin-bottom : 0px;padding-left : 0px;}@media only screen and (max-width:1024px) {.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 60px;padding-bottom : 60px;}}@media only screen and (max-width:640px) {.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 50px;margin-top : 0px;padding-right : 0px;padding-bottom : 50px;margin-bottom : 0px;padding-left : 0px;}}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-end\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div style=\"text-align:center;\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"border-radius:30px;margin-bottom:30px;\"><img decoding=\"async\" width=\"1200\" height=\"600\" title=\"prostatectomie\" src=\"https:\/\/www.techniciendesante.fr\/magasins\/wp-content\/uploads\/2021\/04\/prostatectomie.jpg\" class=\"img-responsive wp-image-3000\" srcset=\"https:\/\/www.techniciendesante.fr\/magasins\/wp-content\/uploads\/2021\/04\/prostatectomie-200x100.jpg 200w, https:\/\/www.techniciendesante.fr\/magasins\/wp-content\/uploads\/2021\/04\/prostatectomie-400x200.jpg 400w, https:\/\/www.techniciendesante.fr\/magasins\/wp-content\/uploads\/2021\/04\/prostatectomie-600x300.jpg 600w, https:\/\/www.techniciendesante.fr\/magasins\/wp-content\/uploads\/2021\/04\/prostatectomie-800x400.jpg 800w, https:\/\/www.techniciendesante.fr\/magasins\/wp-content\/uploads\/2021\/04\/prostatectomie.jpg 1200w\" sizes=\"(max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-1 fusion-animated\" style=\"font-size:20px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.2\" data-animationOffset=\"100%\"><blockquote>\n<p>Le prostatectomie est une intervention qui consiste en l\u2019<strong>ablation de la prostate<\/strong> chez l\u2019homme. Elle intervient le plus fr\u00e9quemment suite \u00e0 la d\u00e9couverte d\u2019une <strong>tumeur canc\u00e9reuse<\/strong> trop avanc\u00e9e pour \u00e9pargner la prostate. Cette op\u00e9ration expose \u00e0 certaines complications comme les <strong>fuites urinaires<\/strong> ou un dysfonctionnement \u00e9rectile.<\/p>\n<p>Mais l\u2019on peut continuer \u00e0 <span style=\"text-decoration: underline\"><strong><a style=\"color:#24397c\" href=\"https:\/\/www.ameli.fr\/assure\/sante\/themes\/cancer-prostate\/vivre-suite-cancer-prostate\">bien vivre apr\u00e8s un cancer de la prostate<\/a><\/strong><\/span>. Les effets secondaires d\u2019une prostatectomie ne sont pas tous irr\u00e9m\u00e9diables.<\/p>\n<\/blockquote>\n<\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;margin-left : 1.92%;}}<\/style><\/div><style type=\"text\/css\">.fusion-fullwidth.fusion-builder-row-2 a:not(.fusion-button):not(.fusion-builder-module-control):not(.fusion-social-network-icon):not(.fb-icon-element):not(.fusion-countdown-link):not(.fusion-rollover-link):not(.fusion-rollover-gallery):not(.fusion-button-bar):not(.add_to_cart_button):not(.show_details_button):not(.product_type_external):not(.fusion-view-cart):not(.fusion-quick-view):not(.fusion-rollover-title-link):not(.fusion-breadcrumb-link) , .fusion-fullwidth.fusion-builder-row-2 a:not(.fusion-button):not(.fusion-builder-module-control):not(.fusion-social-network-icon):not(.fb-icon-element):not(.fusion-countdown-link):not(.fusion-rollover-link):not(.fusion-rollover-gallery):not(.fusion-button-bar):not(.add_to_cart_button):not(.show_details_button):not(.product_type_external):not(.fusion-view-cart):not(.fusion-quick-view):not(.fusion-rollover-title-link):not(.fusion-breadcrumb-link):before, .fusion-fullwidth.fusion-builder-row-2 a:not(.fusion-button):not(.fusion-builder-module-control):not(.fusion-social-network-icon):not(.fb-icon-element):not(.fusion-countdown-link):not(.fusion-rollover-link):not(.fusion-rollover-gallery):not(.fusion-button-bar):not(.add_to_cart_button):not(.show_details_button):not(.product_type_external):not(.fusion-view-cart):not(.fusion-quick-view):not(.fusion-rollover-title-link):not(.fusion-breadcrumb-link):after {color: #ffffff;}.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}@media only screen and (max-width:640px) {.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 20px;}}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:calc( 1250px + 50px );margin-left: calc(-50px \/ 2 );margin-right: calc(-50px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-animated\" data-animationType=\"fadeInDown\" data-animationDuration=\"1.5\" data-animationOffset=\"100%\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-2{margin-top:10px!important;margin-bottom:15px!important;}}@media only screen and (max-width:640px) {.fusion-title.fusion-title-2{margin-top:10px!important;margin-bottom:10px!important;}}<\/style><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"margin-top:10px;margin-bottom:15px;\"><h2 class=\"title-heading-left\" style=\"margin:0;\"><h2><strong>Une op\u00e9ration d\u00e9licate<\/strong><\/h2><\/h2><\/div><div class=\"fusion-text fusion-text-2\" style=\"text-align:left;font-size:20px;transform:translate3d(0,0,0);\"><p>Log\u00e9e dans le bassin, la prostate est une petite glande situ\u00e9e entre la vessie et l\u2019ur\u00e8tre. Nerfs et muscles servant \u00e0 la miction et \u00e0 l\u2019\u00e9jaculation l\u2019entourent. <strong>La prostatectomie est une intervention de pr\u00e9cision<\/strong> pour pr\u00e9server ces structures d\u00e9licates et indispensables \u00e0 la continence et \u00e0 l\u2019\u00e9jaculation.<\/p>\n<p>Une fois l\u2019intervention termin\u00e9e, un cath\u00e9ter est ins\u00e9r\u00e9 pour vider la vessie. La vessie est ensuite reli\u00e9e au canal urinaire sur le cath\u00e9ter. <strong>Un temps de cicatrisation est n\u00e9cessaire<\/strong>, le cath\u00e9ter est laiss\u00e9 en place durant ce laps de temps.<\/p>\n<\/div><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-3{margin-top:10px!important;margin-bottom:15px!important;}}@media only screen and (max-width:640px) {.fusion-title.fusion-title-3{margin-top:10px!important;margin-bottom:10px!important;}}<\/style><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"margin-top:10px;margin-bottom:15px;\"><h2 class=\"title-heading-left\" style=\"margin:0;\"><h2><strong>Alt\u00e9ration de la fonction \u00e9rectile<\/strong><\/h2><\/h2><\/div><div class=\"fusion-text fusion-text-3\" style=\"text-align:left;transform:translate3d(0,0,0);\"><p>La prostate est entour\u00e9e par <strong>les nerfs et les vaisseaux sanguins<\/strong> qui permettent l\u2019\u00e9rection. M\u00eame si les <strong>instruments de pr\u00e9cision des chirurgiens<\/strong> permettent le plus souvent d\u2019\u00e9pargner ces structures, il se peut que les zones canc\u00e9reuses soient ench\u00e2ss\u00e9es dans ces derni\u00e8res et qu\u2019il faille les \u00f4ter \u00e9galement. Il arrive \u00e9galement qu\u2019elles soient<strong> traumatis\u00e9es par l\u2019op\u00e9ration<\/strong>. Dans ces cas la fonction \u00e9rectile peut \u00eatre partiellement ou totalement alt\u00e9r\u00e9e. Lorsque le dysfonctionnement n\u2019est pas total est propos\u00e9e<span style=\"text-decoration: underline\"><strong> <a style=\"color: #24397c\" href=\"https:\/\/www.urofrance.org\/nc\/science-et-recherche\/base-bibliographique\/article\/html\/la-dysfonction-erectile-apres-prostatectomie-totale-quelle-prise-en-charge.html\">une r\u00e9\u00e9ducation \u00e9rectile<\/a><\/strong><\/span>, des m\u00e9dicaments peuvent aussi \u00eatre propos\u00e9s pour les<strong> troubles de l\u2019\u00e9rection <\/strong>li\u00e9s \u00e0 la prostatectomie.<\/p>\n<\/div><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-4{margin-top:10px!important;margin-bottom:15px!important;}}@media only screen and (max-width:640px) {.fusion-title.fusion-title-4{margin-top:10px!important;margin-bottom:10px!important;}}<\/style><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"margin-top:10px;margin-bottom:15px;\"><h2 class=\"title-heading-left\" style=\"margin:0;\"><h2><strong>Fuites urinaires post-op\u00e9ratoires<\/strong><\/h2><\/h2><\/div><div class=\"fusion-text fusion-text-4\" style=\"text-align:left;transform:translate3d(0,0,0);\"><p>L\u2019autre<strong> trouble associ\u00e9 \u00e0 la chirurgie de la prostate<\/strong> sont les fuites urinaires. Suite \u00e0 l\u2019op\u00e9ration, la sonde v\u00e9sicale est habituellement laiss\u00e9e une semaine le temps de la cicatrisation. Apr\u00e8s, durant les premi\u00e8res semaines qui suivent l\u2019intervention, la majorit\u00e9 des patients souffrent d\u2019<strong>incontinence urinaire mais celle-ci est transitoire<\/strong>. Il faut en g\u00e9n\u00e9ral un trimestre pour retrouver la continence. Durant cette p\u00e9riode, l\u2019utilisation de <strong>protections masculines<\/strong><strong> se r\u00e9v\u00e8lent \u00eatre la solution la plus pratique et efficace<\/strong>.<\/p>\n<p>Dans la plupart des cas, il s\u2019agit d\u2019incontinence d\u2019effort pouvant varier de <strong>quelques gouttes \u00e0 des fuites massives,<\/strong> que ce soit lors d\u2019efforts importants ou mod\u00e9r\u00e9s. Seul 2 \u00e0 3% des patients sont confront\u00e9s \u00e0 une <strong>incontinence permanente apr\u00e8s une prostatectomie<\/strong>.<\/p>\n<\/div><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-5{margin-top:10px!important;margin-bottom:15px!important;}}@media only screen and (max-width:640px) {.fusion-title.fusion-title-5{margin-top:10px!important;margin-bottom:10px!important;}}<\/style><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"margin-top:10px;margin-bottom:15px;\"><h2 class=\"title-heading-left\" style=\"margin:0;\"><h2><strong>R\u00e9\u00e9ducation et mode de vie<\/strong><\/h2><\/h2><\/div><div class=\"fusion-text fusion-text-5\" style=\"text-align:left;transform:translate3d(0,0,0);\"><p>En premi\u00e8re intention, pour retrouver le chemin de la continence, la <strong>r\u00e9\u00e9ducation v\u00e9sicosphinct\u00e9rienne<\/strong> coupl\u00e9e ou non \u00e0 des m\u00e9dicaments (<em>anticholinergiques<\/em>) donne <strong>de bons r\u00e9sultats, surtout sur les fuites mod\u00e9r\u00e9es<\/strong>.<\/p>\n<p>Modifier son mode de vie en r\u00e9duisant les facteurs favorisant l\u2019incontinence permet au patient d\u2019am\u00e9liorer son quotidien apr\u00e8s une prostatectomie. La r\u00e9duction des boissons et irritants v\u00e9sicaux (caf\u00e9, \u00e9pices) et aller aux toilettes \u00e0 heures r\u00e9guli\u00e8res <strong>am\u00e9liorent la continence<\/strong>.<\/p>\n<p>Dans les cas les plus s\u00e9v\u00e8res, la mise en place d\u2019un sphincter artificiel peut \u00eatre propos\u00e9 au patient mais c\u2019est une op\u00e9ration lourde et qui n\u00e9cessite d\u2019\u00eatre r\u00e9it\u00e9r\u00e9e apr\u00e8s quelques ann\u00e9es (7 \u00e0 10 ans).<\/p>\n<\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 25px;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 25px;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 25px;margin-left : 25px;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;margin-bottom : 0px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 25px !important;margin-right : 0px;padding-bottom : 0px !important;padding-left : 25px !important;margin-left : 0px;}}<\/style><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 100px;margin-top : 0px;padding-right : 0px;padding-bottom : 100px;margin-bottom : 0px;padding-left : 0px;}@media only screen and (max-width:1024px) {.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 60px;padding-bottom : 60px;}}@media only screen and (max-width:640px) {.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 50px;margin-top : 0px;padding-bottom : 50px;}}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #00529d;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1300px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"1920\" height=\"278\" title=\"accroche_anim\" src=\"https:\/\/www.techniciendesante.fr\/magasins\/wp-content\/uploads\/2021\/04\/accroche_anim.gif\" class=\"img-responsive wp-image-2849\"\/><\/span><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-4{ padding-top : 60px;margin-top : 0px;padding-right : 0px;padding-bottom : 60px;margin-bottom : 0px;padding-left : 0px;}@media only screen and (max-width:640px) {.fusion-body .fusion-flex-container.fusion-builder-row-4{ padding-top : 50px;padding-bottom : 50px;}}<\/style><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":3001,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,17],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Prostatectomie : effets secondaires et incontinence - Technicien de sant\u00e9<\/title>\n<meta name=\"description\" content=\"Vous avez d\u00fb proc\u00e9der \u00e0 une prostatectomie ? 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