Post-prostatectomy incontinence: Urodynamic findings and treatment outcomes
Post-prostatectomy incontinence: Urodynamic findings and treatment outcomes
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DOI：
10.1016/s0022-5347(01)66235-9
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发表时间：
1996-04-01
影响因子：
6.6
通讯作者：
Zimmern, PE
中科院分区：
文献类型：
--
作者：
Leach, GE;Trockman, B;Zimmern, PE
目的：我们研究了尿动力学的结果和治疗结果在一个大的人口男性膀胱切除术后incontinence.Materials和方法：共215名男子被称为评价和治疗显着的膀胱切除术后尿失禁。尿动力学评价包括激发性多通道介质充盈膀胱测压，并大力尝试证明尿失禁。治疗是直接由尿动力学研究的结果，垫评分系统被用来衡量尿失禁的严重程度之前和之后treatment.Results：根据尿动力学研究的结果40%的男性有真正的压力性尿失禁单独和约60%的膀胱功能障碍的主要组成部分，有助于尿失禁。135例男性患者的治疗结果显示，抗胆碱能药物治疗组、人工括约肌插入组和括约肌放置前经尿道治疗组的PAD评分显著降低（p < 0.001）。结论：在我们的大型系列研究中，大多数尿道切除术后尿失禁的男性患者并不是单纯的压力性尿失禁。因此，尿动力学研究是至关重要的，不仅要确定失禁的原因，但直接有效的治疗。
Purpose: We examined urodynamic findings and treatment outcomes in a large population of men with post-prostatectomy incontinence.Materials and Methods: A total of 215 men was referred for evaluation and treatment of significant post-prostatectomy incontinence. Urodynamic evaluation consisted of provocative multichannel medium fill cystometry with vigorous attempts to demonstrate incontinence. Treatment was directed by the results of the urodynamic study, A pad scoring system was used to gauge the severity of incontinence before and after treatment.Results: Based on the results of urodynamic studies 40% of the men had genuine stress incontinence alone and approximately 60% had a major component of bladder dysfunction contributing to incontinence. Treatment results of 135 men demonstrated a significant decrease in pad score (p < 0.001) for those treated with anticholinergics, those undergoing artificial sphincter insertion and those treated pharmacologically before sphincter placement.Conclusions: In our large series most men with post-prostatectomy incontinence did not have genuine stress incontinence alone. Thus, urodynamic studies are critical, not only to define the cause of incontinence but to direct effective therapy.