Mayer P, Rattenhuber U, Schmiedt E
Urologe A. 1983 Mar;22(2):113-5.
22 patients had urinary incontinence plastic surgery according to Kaufman. Good and satisfactory results (n = 14) are to be expected only in cases of genuine stress incontinence following iatrogenic lesion of the sphincteral mechanism. Preoperative urodynamic clarification is obligatory for excluding neurogenic micturition disorders, detrusor-sphincter dyssynergia and bladder instability. Because of the clearly increased complication rate in prostatic cancer, Kaufman-incontinence-plastic surgery should only be carried out when over a period of 12 months tumour progression is not to be expected or when radical prostatectomy was done. Complications with necessary prosthesis removal (n = 9) occurred without exception within 8 weeks after surgery. Among them were two cases of decubital necrosis of the urethra, five cases of secondary wound healing and one case of detrusor-sphincter dyssynergia. General contraindications are: chronically recurrent urinary tract infection, urethral stricture, urethral diverticulum, vesico-urethral reflux with dilated upper urinary tract and the so-called "scarred-rigid urethra".
22例患者根据考夫曼方法接受了尿失禁整形手术。只有在医源性括约肌机制损伤后出现真正的压力性尿失禁的情况下，才有望获得良好和满意的结果（n = 14）。术前进行尿动力学检查以排除神经源性排尿障碍、逼尿肌-括约肌协同失调和膀胱不稳定是必不可少的。由于前列腺癌患者的并发症发生率明显增加，考夫曼尿失禁整形手术仅应在预计12个月内不会出现肿瘤进展或已进行根治性前列腺切除术时进行。需要取出假体的并发症（n = 9）无一例外都发生在术后8周内。其中包括2例尿道褥疮性坏死、5例二期伤口愈合和1例逼尿肌-括约肌协同失调。一般禁忌症包括：慢性复发性尿路感染、尿道狭窄、尿道憩室、伴有上尿路扩张的膀胱-尿道反流以及所谓的“瘢痕性僵硬尿道”。
