Kaufman J J, Raz S
J Urol. 1979 May;121(5):605-8. doi: 10.1016/s0022-5347(17)56900-1.
We believe that there still is a place for passive compression of the bulbous urethra in the treatment of male urinary incontinence after prostatectomy or sphincterotomy. The procedure is simple to do and it is relatively free of complications. However, since it provides only passive resistance and cannot compensate for sudden increases in intravesical pressure, stress incontinence of minor degree is not uncommon. In our series of 184 cases 61 (33 per cent) became completely dry, required no protection and voided with a good stream and without residual urine. Another 51 patients had some stress incontinence but were pleased with the results so that 61 per cent derived definite benefit from the operation. There were 20 (11 per cent) major complications in this series. With recent modifications of the technique and the prosthesis the complication rate has been reduced to 7 per cent in the last 50 cases. The opportunity to adjust the compression postoperatively by injection provides advantages over other passive compression procedures.
我们认为，在前列腺切除术后或括约肌切开术后男性尿失禁的治疗中，球部尿道的被动压迫仍有一席之地。该手术操作简单，且相对并发症较少。然而，由于它仅提供被动阻力，无法补偿膀胱内压的突然升高，轻度压力性尿失禁并不少见。在我们的184例病例系列中，61例（33%）完全干爽，无需防护，排尿顺畅且无残余尿。另外51例患者有一些压力性尿失禁，但对结果满意，因此61%的患者从手术中获得了明确的益处。该系列中有20例（11%）出现严重并发症。随着最近技术和假体的改进，在最近的50例病例中，并发症发生率已降至7%。术后通过注射调整压迫的机会比其他被动压迫手术具有优势。
