Ghoniem G M, Bryan W
Section of Voiding Dysfunction, Female Urology & Reconstruction, Cleveland Clinic, Ft. Lauderdale, Florid, USA.
Tech Urol. 2001 Sep;7(3):229-32.
Postprostatectomy incontinence remains a significant problem for both patients and their urologists. Treatment options include placement of an artificial urinary sphincter or collagen injections. Many patients with only minimal or moderate stress incontinence after prostatectomy shy away from AUS placement and do not benefit from collagen injections. We evaluate the placement of the male perineal sling as an option in the treatment of post-prostatectomy stress urinary incontinence.
Ten patients had placement of a male perineal sling with cadaveric fascia lata. Their pre- and postoperative symptoms, including quality of life scores, were evaluated with a standard validated incontinence questionnaire.
Preliminary results show that 70% of patients were dry, 10% showed improvement, and 20% were dry but had sudden return of their symptoms. The last two patients had pelvic x-rays which revealed migration of the bone anchors out of the pubic rami. All patients had improvement in their quality of life. Mean operative time was 30 minutes, and no operative complications were encountered.
The male perineal sling is a quick and simple procedure in the treatment of post-prostatectomy stress urinary incontinence.
前列腺切除术后尿失禁对患者及其泌尿外科医生来说仍然是一个重大问题。治疗选择包括植入人工尿道括约肌或注射胶原蛋白。许多前列腺切除术后仅有轻度或中度压力性尿失禁的患者不愿接受人工尿道括约肌植入，且无法从胶原蛋白注射中获益。我们评估男性会阴吊带植入作为前列腺切除术后压力性尿失禁的一种治疗选择。
10例患者植入了使用尸体阔筋膜的男性会阴吊带。使用标准的经过验证的尿失禁问卷对他们术前和术后的症状，包括生活质量评分进行评估。
初步结果显示，70%的患者不再漏尿，10%的患者症状有所改善，20%的患者不再漏尿但症状突然复发。最后两名患者的骨盆X光片显示骨锚从耻骨支移出。所有患者的生活质量均有所改善。平均手术时间为30分钟，未出现手术并发症。
男性会阴吊带植入术是治疗前列腺切除术后压力性尿失禁的一种快速、简单的手术。
