Raezer D M, Wein A J, Duckett J W, Cromie W J
J Urol. 1980 Apr;123(4):546-7. doi: 10.1016/s0022-5347(17)56014-0.
We report our experience with 22 Scott genitourinary sphincters implanted in 19 patients during a period of 4 years. Patient selection was rigid. Incontinence must be unremitting and fail to respond to exhaustive efforts at control by pharmacologic manipulation with or without intermittent catheterization. The patient must be able to empty the bladder by Credé's or Valsalva's maneuver, and consider the incontinence intolerable. The artificial sphincter is considered as an alternative to urinary diversion. A second attempt at placement has been done in 3 patients. Removal was required in 32 per cent of the devices. However, 79 per cent of the patients did achieve our goal of continence. Therefore, we have found the artificial sphincter to be a valuable addition to the treatment of pediatric incontinence as an alternative to urinary diversion.
我们报告了在4年期间为19例患者植入22个斯科特泌尿生殖括约肌的经验。患者选择严格。尿失禁必须是持续性的，并且在使用或不使用间歇性导尿的情况下，通过药物治疗进行全面控制的努力均无效。患者必须能够通过克里德手法或瓦尔萨尔瓦动作排空膀胱，并且认为尿失禁无法忍受。人工括约肌被视为尿流改道的替代方法。3例患者进行了第二次放置尝试。32%的装置需要取出。然而，79%的患者确实实现了我们的控尿目标。因此，我们发现人工括约肌作为尿流改道的替代方法，是小儿尿失禁治疗中有价值的补充。
