[球部尿道悬吊术治疗男性尿失禁]
[Bulbourethral suspension in treatment of male incontinence].
作者信息
Xu Yuemin, Wu Denglong, Zhang Xinru, Chen Rong, Chen Zhong, Sa Yinglong, Jin Chongrui, Si Jiemin
机构信息
Department of Urology, Sixth Municipal Hospital of Shanghai, Shanghai 200233, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2002 Sep;40(9):689-91.
OBJECTIVE
To explore whether bulbourethral suspension procedure is effective for the treatment of male urinary incontinence of post-prostatectomy and posterior urethroplasty.
METHODS
Twelve male patients with urinary incontinence undergone bulbourethral suspensive operation were reviewed and analyzed with regard to the operation method, postoperative urinary dynamics and clinical results.
RESULTS
Ten patients resumed complete control of urination and 1 was improved. In one patient, postoperative difficulty occurred in voiding but corrected by transurethral bladder neck revision for free passage of urine and continence. Urodynamic study showed that the maximum urethral pressure ranged from 85 to 115 cm H(2)O (mean 98 cm H(2)O, 1 cm H(2)O = 0.098 kPa). The functional urethral length ranged from 3.5 to 4.5 cm (mean 3.75 cm).
CONCLUSION
Bulbourethral suspension procedure is effective in the treatment of male urinary incontinence after prostatectomy and posterior urethroplasty.
目的
探讨球部尿道悬吊术治疗前列腺切除术后及后尿道成形术后男性尿失禁是否有效。
方法
回顾性分析12例行球部尿道悬吊术治疗尿失禁的男性患者的手术方法、术后尿动力学及临床效果。
结果
10例患者恢复完全控尿，1例有所改善。1例患者术后排尿困难，经尿道膀胱颈修正术使尿液通畅并恢复控尿。尿动力学研究显示，最大尿道压为85～115 cm H₂O（平均98 cm H₂O，1 cm H₂O = 0.098 kPa）。功能性尿道长度为3.5～4.5 cm（平均3.75 cm）。
结论
球部尿道悬吊术治疗前列腺切除术后及后尿道成形术后男性尿失禁有效。
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