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[男性尿失禁的治疗:人工括约肌与男性吊带]

[Therapy of male urinary incontinence: artificial sphincter versus male slings].

作者信息

Leicht W, Thüroff J

机构信息

Urologische Klinik und Poliklinik, Universitätsmedizin Mainz, Langenbeckstraße 1, 55122 Mainz, Deutschland.

出版信息

Urologe A. 2012 Mar;51(3):341-7. doi: 10.1007/s00120-012-2820-y.

DOI:10.1007/s00120-012-2820-y
PMID:22399110
Abstract

Different kinds of sling systems for the therapy of male urinary incontinence have been developed during the last decade. All systems work by compressing the male urethra. There are adjustable and non-adjustable systems. Implantation is mostly a minimally invasive procedure. On the other hand the well-established AMS 800 hydraulic artificial sphincter has been available since 1972. Recently, another hydraulic artificial sphincter (FlowSecure) has become available providing a boost of occlusive pressure during stress. The aim of this review is to compare effectiveness and indications of the different techniques compared to the artificial sphincter.

摘要

在过去十年中,已开发出用于治疗男性尿失禁的不同类型吊带系统。所有系统均通过压迫男性尿道起作用。有可调节和不可调节系统。植入大多是微创手术。另一方面,自1972年以来就有成熟的AMS 800液压人工括约肌。最近,另一种液压人工括约肌(FlowSecure)已面市,在压力期间可提供增强的闭塞压力。本综述的目的是比较不同技术与人工括约肌相比的有效性和适应症。

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本文引用的文献

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J Urol. 2011 Jul;186(1):198-203. doi: 10.1016/j.juro.2011.03.016. Epub 2011 May 14.
2
An adjustable sling for the treatment of all degrees of male stress urinary incontinence: retrospective evaluation of efficacy and complications after a minimal followup of 14 months.一种用于治疗所有程度男性压力性尿失禁的可调节吊带:14 个月的最小随访后对疗效和并发症的回顾性评估。
J Urol. 2011 Apr;185(4):1363-8. doi: 10.1016/j.juro.2010.11.075. Epub 2011 Feb 22.
3
Adjustable bulbourethral male sling: experience after 101 cases of moderate-to-severe male stress urinary incontinence.
可调式球海绵体肌男性吊带:101 例中重度男性压力性尿失禁的经验。
BJU Int. 2011 Mar;107(5):777-782. doi: 10.1111/j.1464-410X.2010.09619.x. Epub 2010 Oct 21.
4
Mid-term evaluation of the transobturator male sling for post-prostatectomy incontinence: focus on prognostic factors.经闭孔男性吊带治疗前列腺切除术后尿失禁的中期评估:关注预后因素。
BJU Int. 2011 Jul;108(2):236-40. doi: 10.1111/j.1464-410X.2010.09765.x. Epub 2010 Oct 18.
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Mid-term results for the retroluminar transobturator sling suspension for stress urinary incontinence after prostatectomy.前列腺切除术后压力性尿失禁经后路经闭孔吊带悬吊带的中期结果。
BJU Int. 2011 Jul;108(1):94-8. doi: 10.1111/j.1464-410X.2010.09729.x. Epub 2010 Sep 30.
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Our experience in the treatment of male stress urinary incontinence with the male Remeex system.
Arch Esp Urol. 2010 Jul-Aug;63(6):432-9.
7
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BJU Int. 2010 Dec;106(11):1668-72. doi: 10.1111/j.1464-410X.2010.09400.x.
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BJU Int. 2010 Oct;106(7):1012-6. doi: 10.1111/j.1464-410X.2010.09207.x. Epub 2010 Mar 1.
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