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前列腺切除术后使用人工尿道括约肌治疗尿失禁

Management of urinary incontinence after prostatectomy with the artificial urinary sphincter.

作者信息

Marks J L, Light J K

机构信息

Scott Department of Urology, Baylor College of Medicine, Houston, Texas.

出版信息

J Urol. 1989 Aug;142(2 Pt 1):302-4. doi: 10.1016/s0022-5347(17)38739-6.

DOI:10.1016/s0022-5347(17)38739-6
PMID:2746747
Abstract

A total of 37 patients underwent implantation of the artificial urinary sphincter for urinary incontinence after prostatectomy. Followup was 4 to 96 months, with a mean of 37 months. Social continence was achieved in 94.5 per cent of the patients. No abnormality of detrusor function was found in any patient. Prior pelvic irradiation appears to increase the risk of cuff erosion. Routine nocturnal deactivation of the device together with primary deactivation is recommended to decrease the incidence of cuff erosion in this patient group.

摘要

共有37例患者在前列腺切除术后因尿失禁接受了人工尿道括约肌植入术。随访时间为4至96个月,平均37个月。94.5%的患者实现了社会控尿。未发现任何患者的逼尿肌功能异常。既往盆腔放疗似乎会增加袖带侵蚀的风险。建议对该患者群体进行常规夜间装置停用以及初次停用,以降低袖带侵蚀的发生率。

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