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男性控尿异体尿道吊带植入术后的尿流改道

Urinary undiversion after implantation of an alloplastic urethral sling for male continence.

作者信息

Steffens J, Steffens L, Becht E, Thüroff J, Hohenfellner R

机构信息

Department of Urology, University of Saarland, Homburg/Saar, Germany.

出版信息

J Urol. 1994 Oct;152(4):1203-5. doi: 10.1016/s0022-5347(17)32542-9.

DOI:10.1016/s0022-5347(17)32542-9
PMID:8072098
Abstract

A man in whom urinary diversion (colon conduit) was performed after 2 unsuccessful implantations of artificial urethral sphincters for treatment of iatrogenic incontinence became continent again after implantation of an alloplastic sling. Three months later the patient underwent urinary undiversion with augmentation cystoplasty. After 3 years ureteroneocystostomy was necessary due to distal ureteral stenoses. At 7-year followup the patient is continent. He has good bladder capacity, bladder emptying and a normal upper urinary tract.

摘要

一名男子因医源性尿失禁在两次人工尿道括约肌植入失败后进行了尿流改道(结肠通道),在植入异体塑料吊带后再次恢复了控尿功能。三个月后,患者接受了膀胱扩大术并恢复了正常尿路。三年后,由于远端输尿管狭窄,需要进行输尿管膀胱吻合术。在7年的随访中,患者保持控尿功能。他的膀胱容量良好,膀胱排空正常,上尿路也正常。

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