Ashton-Miller J A, Howard D, DeLancey J O
Department of Biomedical Engineering, University of Michigan, Ann Arbor 48109-2125, USA.
Scand J Urol Nephrol Suppl. 2001(207):1-7; discussion 106-25. doi: 10.1080/003655901750174773.
This paper provides an overview of the functional anatomy of the structures responsible for controlling urinary continence under stress. The stress continence control system can be divided into two parts: the system responsible for bladder neck support, and the system responsible for sphincteric closure. Age- and injury-related changes in each of these systems are discussed. Understanding the pathophysiology of incontinence on the anatomical level will help to lead to identification of specific defects, thereby allowing better individualized treatment for the incontinent patient.
本文概述了在压力状态下负责控制尿失禁的结构的功能解剖学。压力性尿失禁控制系统可分为两部分：负责膀胱颈支撑的系统和负责括约肌闭合的系统。本文讨论了这些系统中与年龄和损伤相关的变化。从解剖学层面理解尿失禁的病理生理学将有助于识别特定缺陷，从而为尿失禁患者提供更好的个体化治疗。
