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前列腺癌根治术后尿失禁的人工尿道括约肌:对泌尿系统症状及生活质量的影响

The artificial urinary sphincter for post-radical prostatectomy incontinence: impact on urinary symptoms and quality of life.

作者信息

Fleshner N, Herschorn S

机构信息

Division of Urology, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Urol. 1996 Apr;155(4):1260-4.

PMID:8632546
Abstract

PURPOSE

We addressed the impact of the artificial urinary sphincter on the health related quality of life and urinary symptoms in men with post-radical prostatectomy incontinence.

MATERIALS AND METHODS

A total of 30 men with an AMS800 artificial urinary sphincter following radical prostatectomy responded to a questionnaire dealing with the impact of the symptoms on activities of daily living and quality of life. We compared these results to those of 31 patients who underwent radical prostatectomy but did not require an artificial urinary sphincter.

RESULTS

Incontinence was minimal in both groups. Irritative symptoms were noted in the artificial urinary sphincter group, as well as some impairment in activities of daily living. No significant differences were noted with respect to quality of life.

CONCLUSIONS

The artificial urinary sphincter is an effective form of therapy for post-radical prostatectomy incontinence but irritative voiding symptoms occur, which tend to limit activities of daily living.

摘要

目的

我们探讨了人工尿道括约肌对根治性前列腺切除术后尿失禁男性患者健康相关生活质量和泌尿系统症状的影响。

材料与方法

共有30例接受根治性前列腺切除术后植入AMS800人工尿道括约肌的男性患者回答了一份关于症状对日常生活活动和生活质量影响的问卷。我们将这些结果与31例接受根治性前列腺切除术但不需要人工尿道括约肌的患者的结果进行了比较。

结果

两组患者的尿失禁情况均较轻。人工尿道括约肌组出现了刺激性症状,以及一些日常生活活动方面的损害。在生活质量方面未发现显著差异。

结论

人工尿道括约肌是治疗根治性前列腺切除术后尿失禁的一种有效方法,但会出现刺激性排尿症状,这往往会限制日常生活活动。

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