Brown J S
Urology. 1975 Feb;5(2):200-5. doi: 10.1016/0090-4295(75)90010-2.
The Kaufman III procedure for urinary incontinence is an effective means of treating postprostatectomy incontinence. The technique was modified by the routine inclusion of suprapubic cystostomy; operative assessment of the efficacy of the prostheses was possible. Four of our 7 patients (57 per cent) achieved excellent results, 2 of 7 (29 per cent) good, and 1 (14 per cent) poor. In the surgical technique it is important to stress that the mobilization of the crura from the pubic arch should be limited to allow only for the straps. Excessive dissection in this area will limit the degree of compression. This was thought to be a factor in the failure of our first case. Although the Kaufman III procedure for postprostatectomy urinary incontinence may not be ideal, the ease of insertion, good results, and low morbidity make it a desirable method of combating urinary incontinence in many male patients.
考夫曼Ⅲ型治疗尿失禁的手术方法是治疗前列腺切除术后尿失禁的一种有效手段。该技术通过常规行耻骨上膀胱造瘘进行了改良；可以对假体的疗效进行术中评估。我们的7例患者中，4例（57%）效果极佳，2例（29%）效果良好，1例（14%）效果不佳。在手术技术方面，必须强调从耻骨弓游离脚应仅限于吊带。该区域过度解剖会限制压迫程度。这被认为是我们第一例手术失败的一个因素。尽管考夫曼Ⅲ型治疗前列腺切除术后尿失禁的手术方法可能并不理想，但因其置入简便、效果良好且发病率低，使其成为许多男性患者对抗尿失禁的理想方法。
