Fuglsig S, Jønler M, Aagaard J, Djurhuus J C
Urologisk afdeling K, Skejby Sygehus, Arhus.
Ugeskr Laeger. 1996 Apr 8;158(15):2126-8.
Assuming that post-prostatectomy incontinence frequently resolves to various extents, forty patients from a background material of 105 consecutively referred patients with this complaint were reexamined three to 106 months (median 55 months) after first examination. During the time interval between first examination and the revisit only four patients had some improvement of their incontinence. Eleven patients were evaluated urodynamically at both occasions showing no change in MUCP (maximal urethral closure pressure) or other urodynamic parameters. Consequently we could not confirm the dogma that sphincter lesion due to prostate surgery may gradually resolve. Our investigation indicates a poor continence prognosis in patients incontinent after transurethral or transvesical surgery of the prostate and that there therefore should be a more active treatment attitude. The patients should be offered an operation after evaluation of their incontinence, when a sphincter lesion is first diagnosed.
假设前列腺切除术后尿失禁常常会在不同程度上得到缓解，在105例连续转诊的有此症状的患者的背景资料中，选取40例患者在首次检查后3至106个月（中位时间55个月）进行复查。在首次检查和复诊的时间间隔内，只有4例患者的尿失禁情况有所改善。11例患者在两次检查时均接受了尿动力学评估，结果显示最大尿道闭合压（MUCP）或其他尿动力学参数没有变化。因此，我们无法证实前列腺手术导致的括约肌损伤可能会逐渐恢复这一观点。我们的研究表明，经尿道或经膀胱前列腺手术后出现尿失禁的患者控尿预后较差，因此应该采取更积极的治疗态度。当首次诊断出括约肌损伤时，应在对患者的尿失禁情况进行评估后为其提供手术治疗。
