Smucker D R, Zilkoski M W, Jhunjhunwala J
Department of Family Medicine, Medical College of Ohio, Toledo.
Prim Care. 1989 Dec;16(4):941-66.
A basic knowledge of the anatomy and neurophysiology of the lower urinary tract is necessary to understand voiding dysfunction in the male. Enuresis is the most common voiding problem in children. Evaluation and treatment of incontinence and neurogenic voiding dysfunction in the adult male is easily understood by using a failure to store/failure to empty classification system. Treatment focuses on behavioral, pharmacologic, and surgical means of influencing the storage and emptying functions of the bladder and sphincter. The goals of any treatment plan for dysfunctions of micturition in the male are to preserve renal function, maintain continence, and promote normal voiding patterns.
要理解男性排尿功能障碍,必须具备下尿路解剖学和神经生理学的基础知识。遗尿是儿童最常见的排尿问题。通过使用储尿失败/排尿失败分类系统,很容易理解成年男性尿失禁和神经源性排尿功能障碍的评估与治疗。治疗重点在于通过行为、药物和手术手段来影响膀胱和括约肌的储尿及排尿功能。男性排尿功能障碍的任何治疗方案的目标都是保护肾功能、保持控尿能力并促进正常排尿模式。