Brant William O, Martins Francisco E
Division of Urology, Department of Surgery, The Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City, Utah, USA.
Veterans Affairs Medical Center, Salt Lake City, Utah, USA.
Transl Androl Urol. 2017 Aug;6(4):682-694. doi: 10.21037/tau.2017.07.31.
Although currently still the gold standard treatment for post-prostatectomy urinary incontinence, the artificial urinary sphincter (AUS) (AMS800) is an invasive procedure with associated risks factors. In this paper, we aim to outline what the scientific literature and what we personally believe are the factors that are useful and/or necessary to mitigate these risks, including both patient factors and surgeon factors. We also review special populations, including transcorporal (TC) AUS approach, AUS with inflatable penile prosthesis, AUS after male urethral sling, AUS erosion management, and AUS after orthotopic urinary diversion.
尽管目前人工尿道括约肌(AUS,AMS800型)仍是前列腺切除术后尿失禁的金标准治疗方法,但它是一种存在相关风险因素的侵入性手术。在本文中,我们旨在概述科学文献以及我们个人认为的有助于减轻这些风险的因素,包括患者因素和外科医生因素。我们还回顾了特殊人群,包括经会阴植入AUS的方法、带可膨胀阴茎假体的AUS、男性尿道悬吊带术后的AUS、AUS侵蚀的处理以及原位尿流改道后的AUS。