Gonzalez R, Dewolf W C
J Urol. 1979 Jan;121(1):71-2. doi: 10.1016/s0022-5347(17)56666-5.
An artificial sphincter was placed at the bladder neck in 9 male and 3 female patients with urinary incontinence and neurovesical dysfunction. Criteria for selection of patients included complete bladder emptying, absence of vesicoureteral reflux and normal upper urinary tracts. Of the 9 male patients 6 became continent, with an average followup of 25 months, and only 1 mechanical failure occurred. The results were less satisfactory in the 3 female patients, 2 of whom eventually required supravesical diversion. Artificial sphincters are valuable in the treatment of certain children and adults who are incontinent because the pelvic floor is damaged or denervated, even if they have neurovesical dysfunction.
对9例男性和3例女性尿失禁及神经膀胱功能障碍患者在膀胱颈处植入了人工括约肌。患者的入选标准包括膀胱完全排空、无膀胱输尿管反流以及上尿路正常。9例男性患者中，6例实现了控尿，平均随访25个月，仅发生1例机械故障。3例女性患者的结果不太理想，其中2例最终需要进行膀胱上分流术。人工括约肌对于某些因盆底受损或失神经支配而失禁的儿童和成人具有治疗价值，即便他们存在神经膀胱功能障碍。
