Klutke C G, Nadler R B, Andriole G L
Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO, USA.
J Endourol. 1995 Dec;9(6):513-5. doi: 10.1089/end.1995.9.513.
Intraurethral collagen injection has become a recognized modality to treat stress urinary incontinence. The results of this procedure using the traditional retrograde endoscopic approach have generally been disappointing for men with sphincteric incontinence after radical prostatectomy. We describe a new technique of antegrade collagen injection utilizing suprapubic percutaneous bladder access to achieve simultaneous antegrade and retrograde endoscopic views of the bladder neck. This new injection technique is a promising and simple method of correcting postprostatectomy stress urinary incontinence.
尿道内注射胶原蛋白已成为治疗压力性尿失禁的一种公认方法。对于根治性前列腺切除术后出现括约肌性尿失禁的男性患者，采用传统逆行内镜方法进行该手术的效果通常不尽人意。我们描述了一种新的顺行胶原蛋白注射技术，该技术利用耻骨上经皮膀胱穿刺，以同时获得膀胱颈的顺行和逆行内镜视野。这种新的注射技术是一种有前景且简单的纠正前列腺切除术后压力性尿失禁的方法。
