Buse S, Reitz A, Haferkamp A, Hohenfellner M
Urologische Universitätsklinik, Ruprecht-Karls-Universität, Im Neuenheimer Feld 110, 69121, Heidelberg, Deutschland.
Urologe A. 2007 Mar;46(3):240-3. doi: 10.1007/s00120-007-1296-7.
The majority of male patients affected by stress incontinence developed this disturbance after radical prostatectomy or less frequently after TURP. Urodynamic evaluation shows sphincter insufficiency in more than 90% of the patients. The conservative therapy of postprostatectomy stress incontinence relies on physical methods, namely, pelvic floor muscle training with or without electrical or magnetic stimulation. However, evidence in favor of one or the other approach is limited. Since publication of the positive results with duloxetine in women, interest in medical therapy for men reporting postoperative stress incontinence has increased. Conclusive evidence in favor of duloxetine for prostatectomy-associated incontinence however is still missing.
大多数患有压力性尿失禁的男性患者在根治性前列腺切除术后出现这种紊乱，较少情况下在经尿道前列腺电切术后出现。尿动力学评估显示，超过90%的患者存在括约肌功能不全。前列腺切除术后压力性尿失禁的保守治疗依赖于物理方法，即盆底肌肉训练，可伴有或不伴有电刺激或磁刺激。然而，支持一种或另一种方法的证据有限。自从度洛西汀在女性中取得阳性结果的报道发表以来，对报告术后压力性尿失禁的男性进行药物治疗的兴趣有所增加。然而，仍然缺乏支持度洛西汀治疗前列腺切除术后尿失禁的确凿证据。
