根治性前列腺切除术后固有括约肌功能不全的评估与外科治疗
Evaluation and surgical management of intrinsic sphincter deficiency after radical prostatectomy.
作者信息
Flynn Brian J, Webster George D
出版信息
Rev Urol. 2004 Fall;6(4):180-6.
Abstract
Urinary incontinence following prostatectomy is usually due to intrinsic sphincter deficiency and is often referred to as post-prostatectomy incontinence (PPI). The male sling is an effective minimally invasive procedure for low volume PPI. Although the male sling procedure is becoming increasingly popular, the artificial urinary sphincter (AUS) remains the gold standard. Placement of the AUS cuff using the transcorporal technique salvages patients with urethral atrophy as well as prior AUS erosion or infection. As the surgical options for PPI expand, it is important to analyze the outcomes with contemporary surgical techniques and to develop an algorithm for procedure selection.
摘要
前列腺切除术后尿失禁通常是由于内在括约肌缺陷，常被称为前列腺切除术后尿失禁（PPI）。男性吊带术是治疗少量PPI的一种有效的微创手术。尽管男性吊带术越来越受欢迎，但人工尿道括约肌（AUS）仍然是金标准。采用经体技术放置AUS袖套可挽救尿道萎缩以及先前发生AUS侵蚀或感染的患者。随着PPI手术选择的增加，分析当代手术技术的结果并制定手术选择算法非常重要。
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