Fuller Thomas W, Ristau Benjamin T, Benoit Ronald M
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Can J Urol. 2014 Oct;21(5):7507-9.
Placement of an artificial urinary sphincter (AUS) remains the gold standard for treatment of stress urinary incontinence after radical prostatectomy. Persistent or recurrent incontinence after AUS placement can occur. Options then include cuff revision or placement of a retrourethral transobturator sling (RTS), among other alternatives. This report describes simultaneous cuff revision and placement of a RTS for management of refractory stress urinary incontinence after radical prostatectomy. This approach obviates the need for additional procedures if one approach fails. This is especially valuable for patients averse to operative intervention and those at high risk for general anesthesia.
植入人工尿道括约肌（AUS）仍然是根治性前列腺切除术后压力性尿失禁治疗的金标准。AUS植入后可能会出现持续性或复发性尿失禁。此时的选择包括袖带修复或放置耻骨后经闭孔吊带（RTS）等其他方法。本报告描述了在根治性前列腺切除术后同时进行袖带修复和放置RTS以治疗难治性压力性尿失禁。如果一种方法失败，这种方法无需额外的手术。这对于不愿接受手术干预的患者和全身麻醉高风险患者尤其有价值。
