Kösters S, Das S P, Raz S, Kaufman J J
Z Urol Nephrol. 1977 Aug;70(8):561-7.
Issuing from the pathophysiological fundaments of the incontinence after operative sanation of the outlet of the urinary bladder the principal surgico-prosthetic possibilities for the removal of this complication are describes: 1. artificial systems of the sphincter with arbitrary increase and decrease of the occlusion pressure of the proximal urethra, 2. permanent compression of the bulbar urethra. On the last mentioned principle is based the incontinence prosthesis after Kaufman, which in its rate of success corresponds to the artificial sphincter systems.
从膀胱出口手术修复后尿失禁的病理生理基础出发，描述了消除该并发症的主要手术修复可能性：1. 可随意增加和降低近端尿道闭塞压力的人工括约肌系统；2. 球部尿道的永久性压迫。考夫曼失禁假体就是基于最后提到的原理，其成功率与人工括约肌系统相当。
