Fitzpatrick J M, Gardiner R A, Worth P H
Br J Urol. 1979 Dec;51(6):552-5. doi: 10.1111/j.1464-410x.1979.tb03600.x.
Sixty-eight patients with incontinence following prostatectomy for benign prostatic hypertrophy were studied. Detrusor instability was present in 45 patients, most commonly associated with sphincter damage (28 patients), but alone in 11, and with residual obstruction in 6 patients. Sphincter damage was the cause of incontinence in 47 patients (alone in 18, with detrusor instability in 28, and with residual obstruction in 3). Some patients who complained of a combination of frequency, nocturia and urgency before prostatectomy were later found to have detrusor instability, but post-operatively no association between symptoms and pathology was noted. It is suggested that the need for surgery should be definitely established in patients who present with equivocal symptoms. All patients with a combination of frequency, nocturia and urgency should have a urodynamic assessment before prostatectomy.
对68例因良性前列腺增生行前列腺切除术后出现尿失禁的患者进行了研究。45例患者存在逼尿肌不稳定，最常见的是与括约肌损伤相关（28例患者），但单独存在逼尿肌不稳定的有11例，与残余梗阻相关的有6例。括约肌损伤是47例患者尿失禁的原因（单独括约肌损伤18例，合并逼尿肌不稳定28例，合并残余梗阻3例）。一些在前列腺切除术前主诉尿频、夜尿和尿急合并症状的患者后来被发现存在逼尿肌不稳定，但术后未发现症状与病理之间的关联。建议对于症状不明确的患者应明确确定手术必要性。所有有尿频、夜尿和尿急合并症状的患者在前列腺切除术前均应进行尿动力学评估。
