Butler W J
J Urol. 1979 Dec;122(6):838-40. doi: 10.1016/s0022-5347(17)56629-x.
Needle electromyography demonstrated bizarre repetitive high frequency discharges of the periurethral muscles in 3 women with urinary incontinence. One patient recovered spontaneously and 2 had associated stress incontinence that was greatly accentuated. Surgical correction of the stress incontinence had been done in 1 woman before the sphincter neuropathy was recognized and she continued to experience severe incontinence unrelated to activity for 30 months while the neuropathy subsided and stabilized. The second patient with stress incontinence and sphincter pseudomyotonia was diagnosed preoperatively. The operation was delayed for a year until the peripheral neuropathy appeared to be stabilized. This case had a more predictable and satisfactory postoperative result. The experience with these patients suggests that other specific neurogenic disorders of the striated sphincters may cause significant urologic symptoms.
针极肌电图显示，3名尿失禁女性患者的尿道周围肌肉出现异常重复高频放电。1例患者自行康复，2例伴有压力性尿失禁且明显加重。1名女性在括约肌神经病变被识别之前已接受压力性尿失禁的手术矫正，在神经病变消退并稳定的30个月里，她持续经历与活动无关的严重尿失禁。第二名患有压力性尿失禁和括约肌假肌强直的患者在术前被诊断出来。手术推迟了一年，直到周围神经病变似乎稳定下来。该病例术后结果更可预测且令人满意。对这些患者的经验表明，横纹肌括约肌的其他特定神经源性疾病可能会导致明显的泌尿系统症状。
