Salinas Casado J, Virseda Chamorro M, Salomón Mohamed S, Bravo de Rueda C, Aristizábal J M, Resel Estévez L
Servicio de Urología, Hospital Universitario San Carlos, Universidad Complutense, Madrid.
Actas Urol Esp. 1996 Jun;20(6):544-50.
Clinical and urodynamic studies were conducted in 19 patients undergoing intrarectal electrostimulation due to post-prostatectomy urinary incontinence. It was corroborated that patients referring incontinence with isolated coughing presented better clinical outcome (80% positive results) than those who also referred urgency-incontinence (44%). Patients with stress incontinence showed positive clinical results post-stimulation in 78% cases. Patients with vesical instability, in 40% cases and patients with mixed incontinence, in 60%. In contrast, elimination of vesical instability was urodynamically proven in 60% cases, but in only 22% with stress incontinence. In mixed incontinence (instability + stress) the instability persisted only in 20% while stress incontinence persisted in 80% cases. The above data would advocate electric stimulation as a therapeutical alternative in post-prostatectomy urinary incontinence.
对19例因前列腺切除术后尿失禁而接受直肠内电刺激治疗的患者进行了临床和尿动力学研究。结果证实，仅因咳嗽出现尿失禁的患者临床效果更好（80%为阳性结果），优于那些还伴有急迫性尿失禁的患者（44%）。压力性尿失禁患者在刺激后78%的病例中临床结果为阳性。膀胱不稳定患者为40%，混合性尿失禁患者为60%。相比之下，尿动力学证实60%的病例中膀胱不稳定得到消除，但压力性尿失禁患者仅为22%。在混合性尿失禁（不稳定+压力性）中，不稳定仅在20%的病例中持续存在，而压力性尿失禁在80%的病例中持续存在。上述数据支持将电刺激作为前列腺切除术后尿失禁的一种治疗选择。
