Petero Virgilio G, Diokno Ananias C
Department of Urology, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
J Urol. 2006 Feb;175(2):605-9. doi: 10.1016/S0022-5347(05)00243-0.
We compared the long-term outcome of AUS between men and women who received the device for the management of stress urinary incontinence.
Between August 1983 and January 2004, 126 consecutive patients received the AUS AMS 800 at our center placed by the senior author (ACD). Of these patients 108 (53 men, 55 women) and 168 devices (88 in men, 80 in women) were available for review. Outcome measures include complications, duration and etiology of AUS failure, and satisfactory continence.
Mean followup was 8.1 +/- 5.6 years. Of the 108 patients 18 (40%) men and 31 (56%) women had no complications (p = 0.09). Of the 168 devices 76 (45%) eventually failed (44 or 50% in men, 32 or 40% in women, p = 0.19). The incidences of failed device classified as mechanical, nonmechanical or iatrogenic were not significantly different (p = 0.07). Median device durations were 6.9 and 11.2 years in men and women, respectively (p = 0.002). Satisfactory continence was achieved in 82% of patients, in 43 (81%) men and in 46 (84%) women (p = 0.73), including 5 (9%) men and 35 (64%) women who were dry (0 pads, p = 0.01), 28 (53%) men and 4 (7%) women who wear 1 pad (p = 0.01), and 10 (19%) men and 7 (13%) women who use 2 pads per day.
There were no differences in overall satisfactory continence and device failure rates. However, women have a higher dry rate (0 pad use) and longer functioning device duration compared to their male counterparts.
我们比较了接受人工尿道括约肌（AUS）治疗压力性尿失禁的男性和女性的长期治疗效果。
1983年8月至2004年1月期间，连续126例患者在我们中心接受了由资深作者（ACD）植入的AMS 800型AUS。其中108例患者（53例男性，55例女性）及168个装置（男性88个，女性80个）可供评估。观察指标包括并发症、AUS失效的持续时间及原因，以及尿失禁控制情况是否满意。
平均随访时间为8.1±5.6年。108例患者中，18例（40%）男性和31例（56%）女性无并发症（p = 0.09）。168个装置中，76个（45%）最终失效（男性44个或50%，女性32个或40%，p = 0.19）。分类为机械性、非机械性或医源性的装置失效发生率无显著差异（p = 0.07）。男性和女性装置的中位使用时间分别为6.9年和11.2年（p = 0.002）。82%的患者尿失禁控制情况满意，其中男性43例（81%），女性46例（84%）（p = 0.73），包括5例（9%）男性和35例（64%）女性达到完全干爽（无需使用尿垫，p = 0.01），28例（53%）男性和4例（7%）女性每天使用1片尿垫（p = 0.01），10例（19%）男性和7例（13%）女性每天使用2片尿垫。
总体尿失禁控制满意度和装置故障率无差异。然而，与男性相比，女性的完全干爽率（无需使用尿垫）更高，且装置的有效使用时间更长。
