McGuire E J, Woodside J R
Urology. 1980 Mar;15(3):256-60. doi: 10.1016/0090-4295(80)90438-0.
Many operative procedures have been devised to treat postprostatectomy urinary incontinence. The most widely employed technique today is implantation of the Kaufman urinary incontinence prosthesis. This device maintains continence by passive compression of the bulbous urethra. Unfortunately, it is associated with a 39-per cent failure rate. We have modified Kaufman's operative technique by suspending the posterior straps of the device to the anterior rectus fascia. Passive urethral compression is thus augmented by partial transmission of increases in intra-abdominal pressure. This article describes the details of the surgical procedure and the results in 3 cases.
已经设计了许多手术方法来治疗前列腺切除术后的尿失禁。目前应用最广泛的技术是植入考夫曼尿失禁假体。该装置通过被动压迫球部尿道来维持控尿。不幸的是，它的失败率为39%。我们对考夫曼的手术技术进行了改良，将该装置的后带悬吊至腹直肌前筋膜。这样，腹腔内压力增加的部分传递增强了对尿道的被动压迫。本文描述了手术过程的细节以及3例患者的治疗结果。
