POSTPROSTATECTOMY INCONTINENCE - A URODYNAMIC AND FLUOROSCOPIC POINT-OF-VIEW
POSTPROSTATECTOMY INCONTINENCE - A URODYNAMIC AND FLUOROSCOPIC POINT-OF-VIEW
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DOI：
10.1016/0090-4295(91)80245-3
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发表时间：
1991-11-01
期刊：
影响因子：
2.1
通讯作者：
SINGH, VK
中科院分区：
文献类型：
--
作者：
KHAN, Z;MIEZA, M;SINGH, VK
对63例男性尿道切除术后尿失禁患者进行了尿动力学和透视检查。 在几乎一半的患者（49%）尿失禁的唯一原因是逼尿肌不稳定。 由于括约肌机制的损害而导致的痉挛出现在不到一半的患者中（47%）。 然而，几乎一半的患者（53%）伴有逼尿肌不稳定。 只有少数患者（4%）因其他原因而尿失禁。 看来，尿道切除术后尿失禁并不总是由于手术意外。 许多老年患者可能有预先存在的神经系统疾病（例如，帕金森病、糖尿病性自主神经病变、酒精性神经病变和各种脊髓疾病），这些疾病可深刻影响前列腺手术的结果。 评估膀胱切除术后尿失禁时应考虑逼尿肌不稳定。
Sixty-three male patients suffering from post-prostatectomy incontinence were studied by urodynamics and fluoroscopy. In almost half the patients (49%) the sole cause of incontinence was detrusor instability. Incontinence due to damage of the sphincter mechanism was present in less than half of the patients (47%). However, almost half of these patients (53%) had concomitant detrusor instability. Only a small number of patients (4%) had incontinence due to other causes. It appears that post-prostatectomy incontinence is not always due to a surgical misadventure. Many older patients may have pre-existing neurologic disorders (e.g., Parkinson disease, diabetic autonomic neuropathy, alcoholic neuropathy, and various spinal cord disorders) which can profoundly affect the outcome of prostatic surgery. Detrusor instability should be considered when evaluating post-prostatectomy incontinence.