Jurascheck F, Dollfus P, Chapuis A, Schoenahl C, Fernandez R, Al Salti R
Department of Urology, Hôpital Civil, Mulhouse, France.
Paraplegia. 1987 Dec;25(6):475-81. doi: 10.1038/sc.1987.80.
Severe dysuria, due to insufficiency of the perineal floor associated during micturition with a posterior tilting of the prostate-bladder block in lower or in associated upper and lower motor neuron lesions, can be treated surgically by a prostato cytso pexy. Since 1971, eight patients with post-traumatic conus and/or cauda equina lesions have been treated by this intervention. On the follow-up the satisfactory results appear to remain stable. An alternative surgical technique using the abdominal pyramidalis muscle is described so as to fix the prostate, associated with a bladder-pexy. The recurrence of dysuria, after the intervention, has always been caused by an additional lower urinary tract pathology. The comfort of the patients has been greatly improved.
严重排尿困难，是由于在排尿过程中盆底功能不全，伴有前列腺 - 膀胱阻滞向后倾斜，见于下运动神经元病变或上下运动神经元联合病变，可通过前列腺膀胱固定术进行手术治疗。自1971年以来，已有8例创伤后圆锥和/或马尾神经损伤患者接受了该手术干预。随访结果显示，满意的效果似乎保持稳定。本文还描述了一种使用腹直肌的替代手术技术，用于固定前列腺，并联合膀胱固定术。干预后排尿困难的复发，一直是由额外的下尿路病理状况引起的。患者的舒适度得到了极大改善。
