de Boer T A, Heesakkers J P F A
Universitair Medisch Centrum St Radboud, afd. Urologie, Nijmegen.
Ned Tijdschr Geneeskd. 2008 Apr 5;152(14):797-802.
*Urinary incontinence in males is gaining increasingly more attention. *Male urinary incontinence can be classified as storage incontinence due to overactive bladder syndrome or stress incontinence due to urethral sphincter dysfunction. *Most patients benefit from the currently available treatment options for overactive bladder, which include physiotherapy, medication, botulinum A toxin injections and neuromodulation techniques. *The number of radical prostatectomies performed for prostate cancer is increasing; this intervention can lead to stress incontinence due to sphincter weakness. *Various treatment options are available for stress incontinence due to sphincter weakness. *In addition to physiotherapy, treatment options also include the artificial urinary sphincter, which has been available for decades. *New treatments include para-urethral balloons and male slings. The value of these approaches must be proven in the coming years.
男性尿失禁越来越受到关注。男性尿失禁可分为因膀胱过度活动症引起的储尿期尿失禁或因尿道括约肌功能障碍引起的压力性尿失禁。大多数患者受益于目前可用的膀胱过度活动症治疗方案,包括物理治疗、药物治疗、A型肉毒毒素注射和神经调节技术。因前列腺癌而进行的根治性前列腺切除术的数量正在增加;这种干预可能因括约肌无力而导致压力性尿失禁。对于因括约肌无力导致的压力性尿失禁,有多种治疗方案可供选择。除了物理治疗外,治疗方案还包括已应用数十年的人工尿道括约肌。新的治疗方法包括尿道旁球囊和男性吊带。这些方法的价值必须在未来几年得到证实。