神经源性括约肌功能障碍：是否需要人工尿道括约肌？
Neurological sphincter deficiency: is there a place for artificial urinary sphincter?
机构信息
Departement of Urology, Maastricht University Medical Centre, Maastricht, Netherlands.
Departement of Urology, University Hospital of Ghent, Ghent, Belgium.
出版信息
World J Urol. 2024 Feb 3;42(1):69. doi: 10.1007/s00345-023-04716-1.
PURPOSE
Neurogenic stress urinary incontinence (N-SUI) is a condition with serious impact on the quality of life. There are several treatment modalities of which the artificial urinary sphincter (AUS) stands out as the most suitable technique for addressing sphincter insufficiency. In this article, the purpose is to describe practical considerations, outcomes, and complications of the artificial urinary sphincter in neurological sphincter deficiency in both males and females.
METHODS
A narrative review of the current literature.
RESULTS
The outcomes of AUS are reasonably good in patients with NLUTD, the surgical technique is discussed as well as the limitations and special considerations in this complex and heterogeneous patient population.
CONCLUSION
The available evidence suggests that its efficacy and functional durability may be lower in patients with neurogenic lower urinary tract dysfunction (NLUTD) compared to those without neurological deficits. However, studies have shown that AUS can still provide effective and safe continence outcomes in both male and female patients, with long-term device survival rates ranging from several years to over a decade.
目的
神经源性压力性尿失禁（N-SUI）是一种严重影响生活质量的疾病。有多种治疗方法，其中人工尿道括约肌（AUS）是治疗括约肌功能不全的最适宜技术。本文旨在描述男性和女性神经源性括约肌缺陷中人工尿道括约肌的实际考虑因素、结果和并发症。
方法
对当前文献进行叙述性综述。
结果
AUS 在 NLUTD 患者中的结果相当好，讨论了手术技术以及在这个复杂和异质的患者群体中的局限性和特殊考虑因素。
结论
现有证据表明，与无神经功能缺损的患者相比，神经源性下尿路功能障碍（NLUTD）患者的疗效和功能耐久性可能较低。然而，研究表明，AUS 仍然可以为男性和女性患者提供有效的、安全的控尿效果，长期设备生存率从数年到十年以上不等。
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