Foote J, Yun S, Leach G E
Department of Urology, Southern California Permanente Medical Center, Los Angeles.
Urol Clin North Am. 1991 May;18(2):229-41.
Given the prevalence of bladder dysfunction (i.e., poor compliance or detrusor instability) as a cause of postprostatectomy incontinence, urodynamic studies are essential in the evaluation of such patients. Appropriate management strategies based on the findings of a pertinent history and physical examination, appropriate radiologic studies, and urodynamics optimize the opportunity for successful treatment. Because bladder dysfunction frequently accompanies sphincter insufficiency, bladder dysfunction must be diagnosed and treated effectively before implantation of an artificial urinary sphincter.
鉴于膀胱功能障碍（即顺应性差或逼尿肌不稳定）是前列腺切除术后尿失禁的一个原因，尿动力学研究对于此类患者的评估至关重要。基于相关病史、体格检查、适当的影像学检查和尿动力学检查结果制定的适当管理策略，可优化成功治疗的机会。由于膀胱功能障碍常伴有括约肌功能不全，在植入人工尿道括约肌之前，必须有效诊断和治疗膀胱功能障碍。
