Mundy A R
Br J Urol. 1983 Dec;55(6):642-4. doi: 10.1111/j.1464-410x.1983.tb03395.x.
One hundred and four patients with urge incontinence associated with detrusor instability who had failed to respond to standard conservative treatment were treated by a modified bladder transection procedure. Initially 74% were symptomatically cured, 14% were improved and 12% were failures. At 2 to 5 years after operation these results were 65%, 19% and 16% respectively. There was no significant morbidity and no mortality. Bladder transection is still a useful method of treatment for the refractory patient with detrusor instability, although improvements in conservative treatment have reduced the need for it.
104例伴有逼尿肌不稳定的急迫性尿失禁患者,在接受标准保守治疗无效后,接受了改良膀胱横断术治疗。最初,74%的患者症状得到治愈,14%有所改善,12%治疗失败。术后2至5年,这些结果分别为65%、19%和16%。无明显并发症和死亡病例。尽管保守治疗的改进减少了对膀胱横断术的需求,但对于难治性逼尿肌不稳定患者,膀胱横断术仍是一种有用的治疗方法。