Zerbib M, Conquy S
Service d'urologie, Hôpital Cochin, Paris.
Rev Prat. 1995 Feb 1;45(3):305-7.
Male urinary incontinence needs usually a surgical treatment. Over-flow incontinence is due to bladder neck, prostatic or urethral obstruction and is treated by transurethral resection of the prostate or uretrotomy. Intrinsic sphincter deficiency needs an artificial sphincter implantation or an endoscopic periurethral injection of teflon particles or collagen. Incontinence due to detrusor over-activity is rarely treated by subtrigonal phenol injection or ileal detubularized cystoplasty augmentation.
男性尿失禁通常需要手术治疗。充溢性尿失禁是由于膀胱颈、前列腺或尿道梗阻所致，可通过经尿道前列腺切除术或尿道切开术进行治疗。真性括约肌功能不全需要植入人工括约肌或经内镜向尿道周围注射聚四氟乙烯颗粒或胶原蛋白。逼尿肌过度活动所致的尿失禁很少通过三角区下酚注射或回肠去管化膀胱扩大术进行治疗。
