nforYnsteurFondation d'aide aux personnes incontjnentes {Canada)

Andrcw P Steinberg. M.D., FRCS(C). Professeur adjointDdpaftenlent d'urck)gie, Unive|siti McCill

qlqtg sontles lientaits de |{ Pnr?

La prostatectomie radieale pat lapatoscoder r bLL | ' r nL . { r r ! n r c r f r d t r r . nD .c . t | . r h \ ! d . t rF \L11 . i . i r ) . f l . . r l n t i i 0 r ! r ne r$ r l . r i . i \ r ( n rpL i r . ! 1 .rth.L.!rn!i(L s! Lrp.{durretuirJ. $Ltrf Lf ril.nu r [ i r ] g i l l l ddR dc p r . n r i i r hg | c r h r i n . ! L i f ulrNrrt Cdr! iLx.il. r or ro lrr\ll Niris. d! h lx\tlcdrh \.r (fuliLi. J.\ !ai.rl$ r! mlr\ d (L uc prn c dr.l l a l a r r t r S rN c . . bs r1 i [ o0 \ r r ( ] hgqu . i hd ' r t r rS ' e rl , r t r ( l . a i g r I nd i r h l h .n ( $ r i sn t r g i xs r $ tm01 \ .L l . , r ! \ r Ld . : r r $ f r \ s iD l r r t r

l ) r l l . ] i r r \ . ,N t r f r r ! 1 . lA5P . r d t r JaDr i ! . I lI L r i i ( f n . . o ! r . I Do !d . . r r r r

L . ( . i I n . s r f . t r r r L \ L j . l r t r r j r r i \ i t $ L : , \ ! r r r f rr ( i l L r l i r r n i L c d . . . i L t r r . :

, . r r L f l r r | , \ l f L \ L l . \ L l \ L l . . . r i r f . ! . ! L

\ , , . , . - r , . , , - ! , . , U t r . , , 1

, \ . a , . t i L l , r n r , i ! l L \ L ii \ ( . L l , i \ r . u i t r . , . L r t . , . r t r r . L , \ , , , , n ( r l l

, . . i . , . i I . . ,

l , ! r \ i r . , t i . , d r ( , , r , rr L . d . . r , r , l t r . ( LL i f i n i .

. I ' r l r l l r \ r t ! ( ' r , n ( t r L . l , rl , \ , . \ r r ! . ( ( ! | L r L !

| . ! | ! i \ , . , L $ , , ( t r ! . i L , $ . r . r r L Lr L . r r 1 , . t r , , r , r L I t , l l , L

r r \ L . t r , L j f i . . t r | r i f i . L \ , , . L r . L :n i r . i i t 0 . \ ! r . . r l r r \ r , l

r , f r L . . r \ , i L i L r r i \ . r i . . . t r . 0 t L t r n i ! L t L .: L i 1 f L l i L ' r r r L l , . n r t t j r i ! { i \ . 1 [ r r . ! L r r r

, r i ( n t r . r r \ . l r t r | d . i L t r ! r n r t L .t r r , , f , r l r r t ! t r } I u ! . 1 . r j

r : r r . . r L L I L r r . L r ] ! n , i r { 1 . . L! r - ! . i . r \ { : . r n ! . r L t r ! . ! l t r . r r L

, . r r 0L r r r r \ t L . nL t r l r L r l t , r r n \ L | LL r i \ ! ! u t r .

I .],trtr !i! L.LprliNtqlr toli. d. drn.Lg.\ d !n: rIl: ,tiri r NrlcDr dc rihr! .r!rlLr\ hNia ii {rrtqtr$NLrr. n. L flnirr.. l. ljLr\r.|. tou!fr trrr i 'nr!!uDprrblr dr lf tr\L,re.r..! {trI.tu$ rronnrr.

rlr rr frqk fffitr J obr.N' dA rlilh6 imkrrLqr\e rr rri i,rr flLr ti&. dc lx tr\Lr

j Dirni dir.Fo'tunA rrrtrrr.or!tu L\ r!rt5. (ilrr .r l. \l)htr c, lrimnr nJ.$\rtrc Jtr nltulnr dr

C. ft)t {urL {Le. n r Dtr rxr Nranj\L A Lcr nriqrLc! ( liPRl.. i Nn. .r sntri r\)!iie ir .dr! i .rdrr !n his|lnbLe. rr M( cr g!n!(l d. lt)0 i lll l) rf li 'rlr'$ l,rn it. .L p Le dr iD! sn)olr i h F\Lrlcuonri tuJ.xllhid L,0rrdlr x(iit t,f.nto. L r i1r. C.r. ili lr'rl d! lf|ta.Ll. \trr! drl nrr o n..hN Ll.t rrrnrs,r\ rsgl r$L i r r dL l , , t ) J i , t r oD .q t r r $L r i $ i r r k r l r * 5 t i ! l $ . r :( ) r r . , ! r ( r d ( l uh t r i . r , L r r r r \ ! aD l . r u l Lu i l r ( $, f q t $ f t ! r L f . r r o \ r r [ ' ] f r r t , i ' $ . . o rn r ! ! \ q r$i , 1 r L i L . . L I r l t l . i L r I i r \ . r i L r n . t [ [ i \ t { t L$, r . . 1 r : . r l l r a r r r | t ! n ( ! r . \ l ] f L L l r ( l f L . r r \ L k

r , . : i r : , ) t , r r , , r . n h r n , I I L j ' i L n r i . i i i r ) r

r I x l , r I r I f i L ! i l

, r ! \ \ i . r r ! . , ) 1 ( L L l . L . r | r , L t ,' i , r , i L , , l

. l ( . r I f , ( ' L l . l , \ i . ! , { ! ( | L ' \ r i r . r L r u r . t r :

. r r r I t r r . r r l $ ! r r . r r LL r. . t r r , L h r : u ! . . r . t r 1 1 ! , , 1 i , .

r ( \ \ L t L . . . l i r i r i , { r l r . nt r , . r . l , L r r I ' L . l . r ' i ! , r h

t r . 1 )LL r t r . . i . L , r d [ r . L r ( r ! r : t r |

L t r . / L . r r t r , r f h f , l . I r . r in i L ! l . . . t r r . L . \ L r \

L l i ! , , r ! L r i i , r . \ r r i \ , . . . . 1 ! r . . r L J . r . : . , i1 . . . i L , r , r J . L , . \ , i . i .

L ! L . r L L . . i L r t r , L r . L , r{ i d r ! \ . . , 1 , , I l . r , i L , . 1 , , ! \ r r L $ L t . r , n r u rl l l r r r j , , r nnLun . r ! i \' r i \ . . t r t r r i

\ L . LJ r ( Lc ( L .n n l l r r , { r l L r L l . : \I n : r d i ! 1 . \ l l r r i t r . L i . i r ( ! t J [ LL i . 11 t r \ ] r I l, L i \ i l r r r . r L . f t i r r , l ' , L l . . u . ! L .DonnNrnn .L l \ 0 !

lairnrr tr mrr , ortr .. rD xDrD i \ l ' 0 r . r r . d ( 1 . \ r r ! , r . r i r t r \ . od t r t adL \0 i r . r ! !

d [ r i r i l . l ]D l l , i r t i i r \ r \ ! r l \ [ . r : L S r t o r . $ .u fLmnr .trf ri x|n! r.tr {trr tr'r Dr!.r(dnL. p! \o[.ururr.

l'{0 i qi r. Jc. l]lr.rtr di. \.rtr l{r " Jrrtr \ L:ifuirc\'..nne i r'Jrxrr tr. uf pohair " N ittrI trd

" noNr tr\$lJrN " l!.rtrr.lLcDr.r. li 0lLrtrL dd\hofun$ r rnfr . ron!i)l!. d. lctrA r,l.ri,r,\. \.uhnn Lld\rrrxr.rdr l3 Dbn rl]to\l\Joirf,rnrl

lllr rrtsulrd snrilxrt. oft ;ti publii: Lltus dr. arLdr\

" lr0nnr{ntr'.r , Lr fr.s\ihil,lJ ilo ll,E (Le\ di)s.dionr| !\ fiD., dr ;fhid.li cl nc\ lli ir\ il. {[ri. plr]\ trir \ {l

L \s\ c rh{,.sfutrrq(.f |L s{ Ndirtr r 0ru.$u\ dlNhb \of( qtr rrJne i Lr lofriir.tr.c tRtrtrrdttctrrcfr.n. hi hoin.s {r. Nmiiui\ D ftrftrlrulcs sor(cr..urs dus I $Ni' d. rillnL'c i, [tr t\ lcr qucn.D\

l r Donncd lD r r r $ i i r t i r oh t r t r , r r l i n$ r r !N)og f * r r r t l i d r l l ) ! , . , r r sn r ! i r i l o rd i 0 rd f 0 o f \1 i r r l r . r { r f $ r f r r . (m l l . I | , i n r f r \ l h ' rr { r l l r L f r u f f l r t r u . r r i [ ! r r l ! D iV r . r \ 1r i u i . i r r r l i , \ sh l umf r n ! ; k r r i L . . t r d rL ri t i . , f \ r , ) t , n t L ( \ r r { n l L t r ! t r l r t r d r i r I i [ kL ( l fl ) L ! t r r ' r i L ! r i L r , r l , ) ! r r qL ,h r i ( ( L D , r ! r I r , ! rr ! r . \ i , , r ( l l \ i L l L r . , ( . f r t r i , r r , r I

: L l l L | \ \ . \ | | ! 1 . ( ; i i .

, ! r L \ i i i . ! ! ! L L l . r , r f f r . I r ! , . L l .

, , , r . i , \ . L r , , ( , 1 .

t r , , r ' l , , j r . ! , 1 ' o ! t L . n \ : r \ . r \ . r ' r r ( L \ , , r r ( l o . \

^ \ . n l . g r s c l das . rN t r l i t e \ t xn .n l i r l s . l r hprostNl(tdnif rr.licrI pu-lntxrrs(opir

I l ) i r r nd i t i r L l r L r u r f L t r . . f !I l j ' f r f t r , ) r dL r . t r \ L l r . r l r L i a rnI l ) ' r r r t r r r r ! 1 . , 1 , [ t r . ' t \ rF ! i r k ) j r l'1 ltiJLroor rtr L.ji\tr lh:prd'.f5 l l . | i , c f l rN rn | ) n | . r . \ r r r r i \ t r o , r r d !Llr Au-!m. nd Llc h \ !r!li\ri|r rl.rrL,n!in(il\7 l)'J. \ o rl. arxNlliitr J. L r rsri Mr.

r l t r o \ . \ i t d . L tnn . r r nL l r r r . $ i r i , l uN { . }

I DioirtrLLi.otr.{ lxttarri.\rled r f'xirff de.e(. rd)tuqh

I PtulorgenF rLlc Lx du.ic rlr l\rtlmidrj. hr$|llisr!.c dc d.dri.\ ! ldrg {ene

)ommatre ...

\ ! t e . . p . g e 4 . .

f I La prostatectomie radrcaie

-/ par raparoscoptei lr l t | , . ,Z l La Nvcturie

' j lJ Lhrsroire de Ronny

ffi. glJ Evdnemenrs; venlr

Richdrd J. Baventock, NLD.. FRCSC et Sender Herscholn. M.D., FRCSC. Division d'uroloeieSunnyb(xrk and WoneD's Collegc Hcalth ScieDces Centre. Univcrsily of Toftrrto

ocllnition aD.ri .r Lr !uh1a {1. 1i!. C.\ rfcr;..ftnn.hr i lr\ r dnne .onn r i l r n t+ t j E r oL ( ! F i t t r c d . . l $ . {!lcn..tur!d,./1.!lIr.0nrs igirs s.[r ]ii rtr nfrL{e d.

lrlor\ mnunr\ Brel ir trt.rr.i!..n itaiirf\r r. Ltrc! n ! . ! d , , ! J r cn .n ( n . L . : r r r .

le diagnoflic ditf6renrct .. _.L . d i i im lL i ! dd i l i .D r i . l d . r r ) . r L . r ! \ \ i ! c i m ! ] | l L ] ! .0 , e ! f . r o r l r \ l . \ d r , . i im : . . ] ] [ i L i l ] r . L t u l i

0\rlri I r e. d ls\.Ln |N I drLoJr r,1,,!. Lr.ri!n,10! | fr' r l l . a i r l r L rhe l r r r rD . l . r d r i t L l n r l L \

irtrr f!i$ lA LrLL !..uu0

I f ' f L t u , i r L l 1 ,h r r | I L r t Ln i rD r l . l h> l f L l l f l l

I PFLrli $ Ll trtr!i1\i !. r$irlL

I rl.lltrL,. tr.uune hr L Dr Jiit h DL 1> 11) iL:lr)rr dtrl 1 , k r f f t l L r t t 0 ! u i r L l r dL l . t h

l - i N ru , i r d . l l l \ L n ! $ r i r I r i . . r L r r ! r r . r ( $. 1 .11 ! r \ ( l r l ; 1 r . : t i r | 1 . 1 l f N : \ L r . f L l ! L r r r rDdr d.tr.\rr$r|I r tr\.. rN s r0r I \,1\rrr trL L frf. n dk i L r . { t r p r . ! r . L i , r d L r i r r r d r ' , r l , r N1l l , L l ) i n r l l dn ! , 1 . l i rNL r r i r n ' d s ' r r n$ I I r L r i r L t r . \ , rL r , ] r N . Q (1 ,$ . , , r n r i r r L l . \ { . . r do r \ r ( r rr t r n r l r ! i r ) . L . L t r i r i ( r t r r L R [ f r d t r I l . $

t ) r ' r 1 . ! { l r r dc L l \ t r | R \ [ nn .( l r L i \ r q r . u \0 $ \ ) ! ! r i LN | | u i L ( $ \ . . r i r r r nl r r r r t r , , t u \ , t r r i r t r ( rN f \ l l ) r r a r . l r r l r . r ! , r i r o f rr \ r ' s l l r [ i \ ( L f i . \ . t \ { ' f t r . r ]

oinotlr.. x$..ii. i, ie hrili\Ne.i i!Li.cor!.nrcrrr xFae\dL \onn.l.! iLl trrLlri.orcrr $j.

(ht/ !h.nnn. \i.rllsidl. l.L r!trr tLr itd e Lr DlLtrnn \rtrl ilo,ttr!: -L I lNnFlhi. lririld.1. Lr l]rirldT id . i t r i . , 1 . m rb r . 0 \ t x i b l i J r J u r r r \ LS : \ a \ l ! i l|iLL \.fi ir lx dJ:trr | !rr/ lA r n\ r :.\ tin r\I 1o rd t r t r , r . e f f c r 1 \ l i I * . h \ t r r l \ r , r . r L \a l $ i r r r l i l t r ! t , r . f ' J i , , r , . , . r r r i i r ! t r . { r iN io r! 1 . r ! , l a ( r ( : l o t r . r i o r t r . r d r r t . * r r F i n , , i L I n : rLl. Ltr ft.trr!. il$L tr* bt d. mi.r\ nr.fI l] LlLarlr:

.luNrdun..nditirmrl! lru el.dLniinr.. iqu:..c

. l i 0 , { \ , r i L r n r i L L ' i d . f r l i . nd de h DJ rd r r r L qrftlc..tr Fr l0(rl lrn.Ddonxl (]r rnj{jr \0.i!.i rlCSrr f on r l k I ( i i r i r r l d d r L l r t r . . n da . r r t r L \ r !n r f r $ n ! r \ [ l x l 4 . r nL \ .mL ! : " L i N ]$ i f \ : r r l l. i r , r , $ . r l l i r l l 0 re . r \ i ! u . i . t r k f t r D l$ i .U i n \f r nL [ " O : ] , r r r . r r c r nu r l L r l . r r u l i i 0 r . i r :llirrhur. L ili rirsiflr r. [irhi. ]r!. ! sl .r Dr ni 'lfr!rr oi flr.L'\ ri!xur1trir il. sitrtrrf,ll]| ir.rtr\a.:t ) r

' e i ! d t r i N r D ! l r n r : L l c d ; f r r o r . . d t r ; . \ c

qN | ] r l f l r : r f l r : ' i du f l f ] l ! . r . t u ; r . 1 r r J \ J { . 1l r r . r . r | , t g . L r r f f r F t r f u . h I i \ r t r r ! r l . r n \ . r : r l$Lrlrtr r! J 1' ! n!1.r..1 .: nJdrr x (Lor .Dr pi!. J$q r i r * i r L r \ Fd . r ( . i ! [ i i s r r r ! ! t r ! f n t r \ r ] l r d r l i r r l . fl , d I u r u i r J i s r l r L l L ! t un . {L r r t f r

ti9v"?l9n.'qf ,-..... . -... -L r f r . t r c . i u l ] | , h l i . ' . o r r a f r . i ! ! r r e f r ! aNNt .t 1 . f N , t t r i 0 t r 1 r r r r D . c i L r r r t . r i i r g r ! t r h r h l f' r n r N ' . t i r t r \ r r L * r o f r ! h . r . : l r r L L s \ o L r t , lfrlrL,Lr I t/ l!\ Nnfr: lj \r rql rr iL I dintrtronrllrL.itr n. i(\ n.( ds rL |]tr\ r,n rtriL. rr I roi! r.( r f | , o r . N . ( L r l d r . . / l $ u n $ i s ( i L l .11 ) i l 9 r r i J r ) s i ! i l n , , . . r . l r / $ h . r n . : L l .j l ) i , 5 t u \ . i l 9 ' 1 . Qu rL i i l r t r L l . 6 l ) 69 r r \ . .\ { L r u ! r ! o f t i ' L i J : I { r i ! L f t r f i L . 5 j r r t r u\ | r r r $ { t f u \ d . n r r t r P . r r l i r r r i . . \ i r r r d ! r . \

, f 1 ) i r 5 ' i r D 5 . l l i t ( l r \ . r r $ ! r r , 1 ) i r . r ( ) r r . L r t L ii l ' , ! l $ . r r $ ( 1 . t l L , L l r f l r us ( $ . t r ( $ l . l . r L l t r r. I f \ L . n . L I L r f ! . r L ' t r i n r . i . r f r ' ; L ! r

. , f I! i , t r L rL I | l ' r ) t u f L [ $ r i ] . t u L

htrlc! F la nYcruric , l'fl0aceme. r r : , r r | l l f ! , r L r ( r r L r r i ! ! \ r L l L . r . r

. ( r l r r r f r ! r r L t r r r r ! |l i t r , i ( 1 . ( t r t r L t r l r i l , i . . l ) L \ . . t r ! r \ ! n r \ . h ' r l

l , L i . I r , r , r t . ! . f L i r ( i ' r ' t r r . i r . L t , I l r L ) r . LL l .

, . n , i ' i L l t r n , \ , t r , t l . ! , ! r L o r t r f . \ . r r r , !! i i t r i L i . \ . l i t r i r $ l 1 \ n l . r . d . t r i L . \ . ' .

Le diagnostcCi rnn r . r r ! { 1 r \ r . \ | i . r l i r . , n { l r i . . . L r b t xd..[ r.[. r.. hrtnr! L]tr rd {r Or l* trfbliJr$ !1.tr!.t1 . n. \rL |i\ u,lorr nlDili\ I driLrrt 0rr lrtrr\l r . r L : $ i l i | . f i r t r o l $ r r i d ! ! r ( . r i r i d r . a . fnluliitutrr$r tler( r $Li0 s ir N.ir.:r t1{L Llithru th}irr\n r r $ ! i $ l l . n i r f t ) u $L iL . , r ! L rd i l l i rN r r . r i r L .r\.l i trnr. in\ (]t ni.rid} ( lr i\0 rrJLnr. !.r.i

t i , l r r . L l r u L r n r r r d L l r f r d r ' . ! , . n . r ir! r\ir n \r\ \\ jtinr $ rnil.ru\ {lirdr. g.ri lL. qr

l l t r r ' . r r . . i r . n \ r d r l f r ) t t r r ' r : Doh l i r n . !! i ' i i ( f $ . j $ r , I 1 , . : \ r r r t r n l L , . . oL , l r r r i r f l i l j r l lr . . f L L i l r t r , , 1 t r j . r r n , l r { i r r i \ i r ! r f .N n . i l i | lt ) L L r r | . . r L . \ . s r . r . ! u i L r . \ l r \ L ! r ( r ( r l t Ln tLLo l

( , 1 ! r ) l r L L r r . ! : i ' r . L r $ rN r| h | : r 0 r : i r i r L | r I d f n { L l . \ n . $ r f \ r LL | 1 r (L i r

l ) i , i t , ' d ( , f . l . h i : ( i r L l l r l l ) u t o l t d . I i . n r i .' L r i

i n U r \ r l u r . l ) l ' r r i c r r . s i L f r n , . n 1 , . ) I ( id L r f r r l ( $ f , r [ f : ( L r i ] r r L 7 l h . L ' $ ( r l . i r l u

' lbb leau l :

&Irrldc

. t r r . \ , \ . \ . , I s r [ t r r ha . ! r l . ] t l . i \ f : l l r i , ] l r ] f

l L l i : L r . i r n . r [ 1 . l ] \ x \ l L\ r r : r L l i r l r r r o r \ l . t r r r t r i \ r , r t r \ . n r . l t r

t . ' \ . 1 \ ! L l . r L ruD . i ! t r L , i r r ' r . 1 . r \ r t r r r . ' i x r \L l r \ r ! t r \ r c r l uL t l $ u ' .

lLnir L.LlLLL!1. ri,l. r iir LL. lmfhtr rtriidL., iL.r t,,rhli'rrd D rmd , i u j . D t l , i , r i na \ l r r \ ! r r t r ( L r l c 'I LL$rrtil fl dr rL. rrr! n.rtur dc\ i L.i[.r!r\. tl

F f \ t r \ qL . . . 1 . r f . l i o r r { t r r i \ ac l r l h f ] r i i r ! l,+,.duno qr (L;Frd d. mr \r$ir .r si l$ rit;k^

Ronn! x ofr qLr..,[\ Lcf\de\r,]ieDrsnnpbn.r nc.rr!runn ' c t r ncFn i r r no rnd . ,

' r i ! i r . dc Ro r i J r l l t r u rE q t r i e r i \ t e f ! : l . u r s . xu l $d nrorrrto.c d. l en xcspJuqtr...tr.h6bn! rrderu ild(ir.1l. dilth. qri !c qB. ce.l *r nomrxl ". o0.lur. rc.len d!. irt!. iiqr ,

Hereu\enrrt. dus lx trixtLn irJ,lci ri\. rl c\nbJc\lDrioNd. ndc.r.dl { $0.i Jes.r\ d n.otuil.lr. prn. ar.gkn\ otr ga4 [r. n'..ii rv.trs oi()urNc.f! rores l.rr.rsonn.s rl.nrc\ d lnrrirnence ir r..h.r.li. l irddltr.csrk rLDi, {ler Ftult\rionn.lsdc lr ini

fnistoite de Ronny' 1 . { ' . s l , ! ( l l , } , i \ . r t r nL l . r L l . r , L ' r l r f r i

" l r ' l r S t ) i , , r B a r d l l v r l H \ rL . . L i J r t r( l , l l . ! [ i r \ . r r . nd , Ro rD ! \ . n r ! l r . l l ! t ] i l r ( l r l i x t ! . .L d r\r0\ !1. h nL!. xtr r.r\.r . ('. r. (L.f r n r rrl\n r . . \ . r \ d . N t r r . / f i \ a [ t t t . i d L ]L S f i u U i i ! r i rL r n , r L l t r i x . . ! l . f r d . \ r r n r r , . r l c l j . t r ( . cn l i L \ r lr r i r L . . t ( r n r l L r r l l

, r I r L i r r un ln rhx rd i r x t i . i r { r . L i r ne IN \L } i ] l r , .rir ldnr!: . rr\unl nira.l]lNc.qr jr 0.tr\ f,rir..lc trc

l)N\ F\ nrirtlicr JN r r'riclrdr. o0 sus hiqrllle\. "hll. rj.u[ qu elle,] Di\.orr.ds\id.. d! n in'at d!\:x Fu. idol.s..Nr " Qrxnd rvri\ l:r .u l.l \...!i!x\ qk je n'irais ̂ uccdlxrrnomll!. J.dois\trt edE\Dlcadr.s qrc d xtrtci tff!)nner n o[ pi\ i fxire J.Jon N Nu.hu lal.rr je noi\ N lcv.r d. fi\ hofm h.ur.

llitrr fune m turriric ct ni.t].ltrrd c.ur Iirolr "< | nc teu\ rrr Forr.r dc p4ue1: :ds aqtrrhbr..J d b.$r d. bJqullLes. d\D tnuttrit n{rtid o0 dr

Drrs trre !,.iit Drdcnr. oiL dr\ Irn.. or ari lrtr!tLrns iors l!\ d.drrr!.. R.D! .or(d. qu r.ru.ouprourd ri(trc ;0t lln ]orr.Diln,u $ q0,rlh d. \L:

t l1)

NIJ rtr rLjLurl lI L. rl I l,rr\. ( r | .\ q.\ | I ui.f Lr !lr\.[[tr]Llr\ drr \ .\ rc nut!hrDLl'rl0i.\

l , r : n1 r \ r t r r L r \ r r r . , L r r r d r l cd r L r \ L r r t r r r i r Ln r .I l l ' r l i . . l - . \ , . , r r r \ ( 1 . r l dL i - ! . f .N r r o r t I

f ) . , r ! l r \ l r \ . 1 . r l d ! . , r a r , ! l t r L , r . h r r i r \l i ) L \ . \ 1 ,M . . r r l r \ . 1 r r , , 1 . I L i r t r + . ! t r r . f L rd r

trr dc\ Flu\ !m \ diln dtr hxDdi(n d. R.tr rr" r{ nrr- Fhblimr \e\c,rl , r D{uA I'r r.ii\\rr.e ,. r|0r.R.rrl. ( j xr rA &\ p()blaft\ dc \r\nc. (.r Ll.\ l[rhlJnc\rtr!nLutr\) J rL nrh 0lu\ieu^ i erlcdions.h[€i.rL.id t l x vc i l c J i l dcs i f t i dnn L , i r u i rE \ . l e donr.dnND.nr l.rll!.rirrLn,nLrn fne\,eirh. nl k$n cr n$

irni notrr Dc t,s dor dirlrl. ,Pori rLLl.r y\ fr!btnr.r Llc \onir. Rofnl d.ir boir.Lcuco0p . riu ( \r dhdrariscr rhxLtf. to0. rtr bcriirr( rcr.r\ e rdrftliirid\!pL l.n |ir j(!: snror hpi.sL.r{'r mx \.$r! nc refu urimr J. Nu\ i\dn Je\ x.rii.i\Jr don poLler {.: onLrhe\ d {l.j couiriD.B h dtrtr t.ure { . r d r i t r l L l e . L . l i r . . r i l d i r L ru r [ \ ] 0 . 1$ , l e j..rrhi\ N.oor dr lxiNr6c ,

l{innr $M:Lir ftri Lri.n l$ Dnblarrc\ r]u s e inr Noir

ilti(,losics de l:r Dycturic

t,r tr1 j j f l l .! !r i(,r.rfL ,iLl

SyNluDLdsl.d$$

sur ruflr lllNrx.rvirli! iclrNt

r$ roLs.lL lnnrril oh(clc {Lr c'

r\trr !s (r.!h $ rltr rrr r.illl!NL\ri\iliil,rr llr [ \r\{.I. lti$.tri. r(r!!|iLIl

dan6 ses IruDlGs molsIntervicwic p.rf Snzanno Bert(rr

la nyeturier.or 1.. rod)r d! \:. lrnrr. t ,ol{d: dr \rid.)f,r\nnr, d L!. \olLnr d. lllrilA j\ ui\ l,trduf{i.L r urjL,. Ll L,rr: FL i.[r!. i. Lll nf l, !l\ro.rf,..I n rmr r i ! . i r L r f . : . t d L , r . ( i . i r .

Le taitementr _ .1 ! $ r , r ( . . , : ) t ! r f L i r r ! l \ ! . I . i u t i i i r i f r L . d t r

rjr. {r dr\ ilr\r 0n Dlr.trniLJ , , o ! ( L$ . L .L 6 i r t r ! L i , l ! ( 1 . i i r , , . r uL r r r i l r l f\r-.rr. 1,. (onmr Lf !nbar. {rrra J L rtrri! rl r.nfu.1. -!rr fl.!,1,r1\. Pr nr ., n LJi.rrf r r[]l]on!- il

r iirn a[r]r ,L| r]Lonn ni tLrr . L i . J , L i ' , , i r ( r r l . L r n I d r l r u L i t r r t . L l xN !, r t , . : \ l \ . : r J rd r ! . L rn ! . , L i . r : t l \ r u i . . f . .

d hL r l i i [ . , .N . ! m i ! ! ] r , ln r r l r ! | l , r . r r . \ r L r \ l r r . ! ! t LL . \ r f r [ ! ] r i r f l. o im r I r f i l r r h : r 1 \ . r x L l f , , n \ r . , $ , ] l I i . r L l l

I f f $ . i . L r , { n r r r 1 . f ! ! t i l i Ln t r .: L d r n , ,N : r l , t o l , . i L L ! . \ . l n r l l r : l i ! , . .r , o r l | | . r , . . n r [ , r ] r ! L L r r l , r r i - i l n t r l r r , . L. L l i r r r r . \ r ( { . . \ r i , ( r ( t r n .

Richarcl J. Bave|stock. M.D.. FRCSC et SeDdef Herschorn. M.D., FRCSC, Division d uroloqieSuDnvbrcok and \lbneD's Collegc Hcahh Science\ Centfe. University of Toronlo

Lr, {iti!rc\ prunrnLogiqri Jnit!fl{n [ (Noml ttr ( . Lirr|]ur\ r( rnnn\ xppL.pLi. I o\rg!

d I r.hriir:rxtrL.s titrr l.L rtrrL 0tr d ilFhi hl!rn,.1dli . r n , r , ! - r L . l i [ s . n f . * i , i r r { t r r , r t r ( L r t r r ; [ L r !

t t r n , i . r t r r . , . La r l . L : ; , \ oT l r r \ l q r . d , u : l r

I r b . t r . ! , t r l r r r L ! r NLL t r | , r L r r r , r r : r f r . t r L i !j , : 6 mn ! r . D l r r i L , r L n j : i t r ( i n j i h rD r i r Ld l S1 r: \ ! r , L ! , I r l i t r r r [ ] \ l o r ( : n : r cn i b \ . t r t ri r d r r . . r i t i L l L ! \ . d i L r r l i i r i r r , . j r q r . on ! ! { r r .d i r i l l . , i f . r u r i . . h , r r , : . , 1 ! \ r f d rne d . \ t d . s r l .( ' r r , . . l . r r i r f l l i r . . n r f Lm l ] d [n ] . i r l r [ r L l , l rt i r r r l r r \ L ! I r l . n . d ' s r x r i ( L i huu t r f I i r r l \ f d f| . r r sN l I I i . r ! ! N t r i h : \ , i r r i l ) . l n ! dn i r i iLl l,fgN ri, \Ll.i hrlillo rtrrr: ( ry f. .d fr. i-!i\ !r, r : ! r a i i \ f t r i , n , t L I L l h \ a i i r t | $ r ' r r f r i . r n l i, i . \ , L r l f n . r l . . ! l q r f f r , d . r . . t 0 . , r f i \ [ ( l. r D ! . f . r ( l r d N , L l r r r r 0 i , r h q L . U r l r \ . l i \\ r r o r i r f \ \ l r t r i $ ! r l $ i t r \ ( | r : r f . l r L l I t r . t $$ Lltr\. fr ri.r L i I \ir Li r.r:. i. r.r, \r.1rLrr$ orr r ( L , i f i I l c d i a I L { h n , r t ! , L t ( l L I r i d n . r r r r f L r

n r \ dL n .d rd r r r r L l t L l L , ) h r t r l . r d . \ i $ t r Ln \ (L L$L

Contin(r.nonD.\ ifui.\ nfl ri\Jli qtre h dlr d.o.lm! jdirrir.ltirx.r

Jh r / : r . l r , L l i ! t n i . ns r t u t nq ! : 5 i r : r \ i r f r r e ! i r d iNd.!rJ.ll.lri{ l)|n, (iLr aril. cfrcdri. rutJ!dr t]heitrJ. ..r. .i:nLLn il r: {L!iLc .r\ oDr .otrs ri trrlL i ! L rL : , , r J c > | i : i . D r i n i o r s t r . r o i $ . ( n ru i , i,.1 difr ljl, drb l!..6 dr l)irrir i,tr r.\ i ,r rl,r..b!(r J.rtr.$ i.rli i,.rL L ri:: L! l !l$irprs\i[. Lh r ll

Conclusion . . .L i n \ . t r i r . i L l l o h L k ( n , i n r { t l t r i i l r q r r L i. r | \ i r l c r l r r t . l i r , i ( ! f l i d N r d t o r i j .! . ! , 1 * \ { + InLb l r \ J i l r h r j j i r \ n r r r l r i r r ) i . ..o lDa...rLuLr u r 0 .,r i r! rlr,r I L! (lrirfir I I trr.lli.1Ll.L )rr0 r( Fhdr trr { nnrfil0lr, ri][ r1(

nalalenccs IrittiogrrDnnues\ u l i f r r i r ) ! r l l l \ r , L j \ r l ( l l l l ) | I l r ! . \ r . i ( . r L l / r , r , t . I r ) , ! \ i r jN r L r . d t , , 1 r l , r L r r \ . r L t : , / i r . ) \ r h ! , r r\ i r . \ N u , , , ' f l l , r \ r ' 1 ) r r : | :

: ( t r r ( ( , . r ' r N , l r t f , . 1 r . . , , ,

r \ i h . r . \ t ) r r , r r . r m N ! l (L ! , r r I r , r r l r ! t ) f ) r u r I L : | . L \ r t r i L i , r N L I , \ . r m L r i \ 1

I l r l . t \ l \ 1 l ) on r . o l l . \ i n . r i i K . ! I L ' r r r \ \ r f ) r on r r r h n , r L rL r [ )k r \ h . n ) r . . , r r l r . r 1 r I L i r l r . l ( \ i 5 s . ! ! . 1

j iR L r . L l i n ( $ r 1 i o t \ r l r . . ! r . i . ! \ r ( 1 , , ( t L . r ! . \ . r r t r f n n . r , , t L [ \ ( t r L t t r ] lD { r ( i : L r 1 l , , r r . ( ! \ i L ( r I L l r r n r r ( h l r ( i i ' u L ( a [ l t 1 . ] l l r l

. s r . r I L . l l l r . N | L f . \ r . N r . r . r r r . r i N r \ h r r : L r . l r . ! t r r i ! r , L ' r i t . r ( t lI \ r ( . r . r \ N L r r l r i ! ! l

r ( . d r r \ r ' . r r r 1 1 . \ l ( l r r r - r r r t r . t r f r r ! . r ! r \ t r r . 1r L r t r r r 1 r t L r ! r !

N,r. , ' , , ,1r. , , ,\ lo lS l )1 , 1 . , \ S l ,NSl l l l l . lS , \ l loN ; \ t rX

l,l,t( )ll l.t.N'l l,s | )' lN( .( )NTIN l-N( _l,ll - ir priplr l t ion de lbrunts d' i l l i r lrnution publiqLrc cst

cn cor.rn. C co it la col l0bor' ir l ion dc bdnd\oles locitu\.ccs 6vinenlcnls \c t ieitdlont clans de ltontbrouscs

Pour connaitre le site du forum le plus prds de chez voltsou pour v6r'ifier 1a date et l'heufe de l 6t,dnentcnt.

rcuillez consultcr la liste des forums. qlti figurcra vels la1nioclobrc dans le site Web cle la Fondatio|.

www.continence"ldn,ca

lrrulrs rirNtoRlr\roN,

N0tvtrrtPL,BLICATION

lNr,oiwxncl lrlnrnl?

L,'rrutRo+tltoNunIP(NARITT\'OIIS AIS l,tJ l.t l\'lNI S2.r)r) "Lonu..

I )(J0DTI?I

'A J,!e ,ltatj ,:tAhfrqwqvtr

r i l l c s p . r r t ou t uu C i r r r . r J . r .

F" a 4??8v o' d̂ - - a \ - e - €

t i

SuteGoncfusi0n/-e\ nxrddd\ atfil,\ ju li n,mr..ro.trr rlrFprbi.trN iLdiutcNrrni!..r\.n.drnrerrenrc\tidrdj.i(jle\jr De nosi . n j l . t jE r1 i onBu |o j | . ! !UGenu . i f f \ ! n1 ru l t i . t . l l i d { i r e | i c t i i t l . o | d \qo ! | l r o5Pn l l i . l ] i l | i n ] l ) l . [ t r en $ l dn i . i r de \ ! eL len (Nsuhd \ r smd i i r cdc . . dL ine f redd . f i r t i r i Fnn r$ndcsd jn j . r t l i \ q t r eDo \e Iea r r t ns rg .d...!c,o1elqrton.nriNrgenenE|ioi..irrllmrl{r.Dr!kr\irude\fnblcs lrcooLr.edu.nn.{lc,ilnntr\rn,enrdu tt rlefi. h ntrno'r sr lr \ iiLit ro !A{ir.spourJ6trmL!reslirihblcsbrerliirsd..cnclc.hfqucFfdentaEx|a|}:c,lilxn[\q]i!.dNlxitli!ltrr|elpj!bline|d'jrrconlijrcN|!|d.'i]r0n5ucc,\ilhl\n'||]Q]'o\..pjt|.nnarqrofd.. x..\ d.u: ohi.clfs or mnoi de l:Dco0r$nbh rrl isdion qtr ctL. nlti! rr.hjrlgj.n eldr t) dirniNrion d.Nrr de 5dr-! li{ iL cdrc o06dM lln. plu\ g nle expiricfrr L.drntqre p.jnrnra dc lrerLdidnj.r h p$d\di0n Jr\Nd\ \ons n,rob qLc lcs diiiculr!\ re('|]niqu.s do tr PRt 0. sort fA un i lt,dinr " F|e rrfre Dltrir d.c\.ct.fr$i t cA l ] ed resdx l . i n , I l d f on r . . .D i i t r d rd t r p t r b l r . n f t rm r i L l e r r . l qu$ r r r L r ! i . r l $ Nu . t t u r \ r s r tAttuli.s r..hmlt)grqEr p0trrli.0r \'rr;ftr u h.NUr ria.irrl :i cd ilxrd

^ Andrew P Steinberg, M.D.. FRCS(C)q

Ganadtan tssoctafiono.l.an!!tqq!E!i l-rr-qrqpt -.-. ... .

* Coo\*"o""*

irrrenrt: {w

clr.qn. d.i lrili h Fonddion d !id. rn\ ferlrnneroJ.ihnorre\ rcudr) 0:APl) trotrs rr.ist de

Fofi:fNf..tr rii.he dlPrls dcs coDs.DnrrcuAqlLrrhntr!d i,ilonnnence u rxiir

rl rn i foLer quc r.A!l tu rg.it ad.!d budgelLl 1)tirnlNn {l rnco Dnrardc B.lr$reme qrc({rir.Nlus rurptons $ $.ortihdons individnellcs. ..1[\,leI iral\iric. l dlri\idrLiesnenlb.dstmlessi.trmhrlc

I srnli.r l.s nnbsde rs NblidionsNors iinclrons nn itqu otli.iel plu fins d'lnl]nr

JnUr r,ue coniib$ion dc 20.00$ et plL so€a0ane de chdird + 8900.1 .17,16 RR0tol

vcuilhz htr nrc chlqoe nu D{rnr dc liFoDddiotrd lc atrr F^oi0er rncon Nrcs (rm&h)

cr I rn r ndren i ] i :ll 11:10. SrrruN e \i.roiia.\\tnnnd. Q. HIZ lvl

MomDrca d|, consGil d'sdminlstralton

i r r . i i I : . 1 , r , 1 ) t l - t . . 1

1lnr lAfnur l Conl . r0rcc

( l r f i l O I i rg r r l l1 )1 . . K ! tNr j r . l ] ( '' ' oLr rngr r V i r r ! r / \

' l i s re r l Sr r r f i s '

l . f r f rL l )u r . n .1 r rn tu r . r l , i ( ' i rL ( r , r | . r th . r

ltlr lsian co||ercss ot urotosy.

l,lasidunlr i)rlrrc . lJoDtr\ 1lrrtr(

Nl Dr\ ( \\',n 1 $.l\. i\ls..(CilTVi0t)ri\idcnrDrrnrl.ri -

ItoI,asonlxnt dL l i 'duslri(..

l ) r l ) r L , L r r , . \ r ) . R l v

\ l r L , r . . i r . \ l r \ . \ ( \

l ) i l ] r i o ] ) ' t r r . N l l ) . l l t ( S ( 'l)! sdir '\ | r r. ttl Bti. N,fl) lrR( \('

l ) ' h r ^ ( i . L t r ! . i \ r l ) . l t ( r

\ l f . ! , , , , j l j r ! j . . l r . ! l t \ r \\ l r l ) , r L r \ 1 ( l ) r i r . l L l . I ' l

\ r r r , i d N , , r i n . L r N . N ( \

I t lN , \ s r t r 7 . l r \ r . N r l ) l ,R ( \ l

r r L , \ t ( , r t r . i ! ) t R ( s ( '

com|le co|rsutlalitlt lltL rl &r,tr \'i l).l lt( l(

l ) SL {d l l , r L r \ . P l r . ' r r l )

DL f.trlr r |1,rr. \lll. I llfscD f.iri., I . \brrl \lD lR( SC

11 , , $ . u ( r t r [ i . . t r ! i qu r

DL Ctd.rc KL!li.L.l\llr FICP

D Kdlunr! \nrrc.ltN i!1N. PhLl

DL P.r!' ForrnerilLe. \'lD. I RCSC

tu Sydnel Rl{LoDrk'. NlD FRCSC

I)rlV Ll Slo{h.,\. NiD.FRCSC

Hong l{onglll[ Urotogrcat txccttence contercme

\ r l r r r i i r r ' i . l i . l l l l l lN | , , r l l t { . 1 ( , 1 | : , t . r \ t l' ' l i , , r . \ \ l , r ' l f l ) r ln r \ . t Sr r ' r rh '

L , j i . i L r . t t { r { r h ( i ( , 1 ! r r l i t r . . r t l k r , n ) r r r

Socteu ot ttroto0ic tlulses a Assocl es

(Jrnr l t r l l l ( , . l l r l l l

i o . 11 ' l ' u . l N1 r . ' r Lb f r 101 ) lL L ) l i r , r l l i . . ( r ! L i l , ,

r l ' . \ r i cn r i i i . I r i ! t u r r f r o l l j I r \ t \ ' . t \ .

| . . t r r | ) ! , n i 1 , ) n r t r , i L l 0 ( l l . r . sI r r x { \ r . 1 , i , r t , r { l l l l ) l , r i l

Assoclrtion Q abdcoisc des lnllrmiores erInli]nr$ In lrioloqle

L l r . [ r , ( . { i $ ] n L .

l ln r i l :A( l l lL ( i , \ id ro l rLnr (N

lormufr i re d ar tn6$ion . \ t r r ln , r t r t , t , i , . t , r tnnr) , , r r ,nLd, / , r / i r f . j r , , , i , r j , , r \

L.l Fondatton d ajde .rLtx personnes incontinentes lCanadaJ- . 1 \ l . r r f L , ! J$ \ i , t r I r l r t r L \ L r l . 611 1 r I I r a j . L , )- l \ ! i . r i [ t r i . d l t s ] l r l ) l l r L i ud \ r

. l r - l ' f :

OR(;\\ISN''E

\TILLE PROV:

i r r l t l

lCh iq l ! i i l imhedc ! r . r , f i t i , t l l t . ! a \ p \ r r 6 t r n , r i t t t k \ | t - , n r . d ! ) I

Lr l t)rltri,r l 1ttl. tt I r{ qrr, in rli!e r \ t aorttt )l]f J,.nl.r^.r/. ri.rrrr. 112n,drt QL H172\'1

Id|o|nre Adnini$rativc

0esiqn & MlsG cn pagG

4 l- : )