如何提高人工尿道括约肌植入术的手术效果

How to enhance the therapeutic effect of artificial urinary sphincter implantation

人工尿道括约肌(AUS)植入术是治疗各种原因所致括约肌源性尿失禁的金标准。本文阐述了如何提高AUS植入的手术效果、减少并处理近期及远期并发症的临床经验,包括:①严格掌握手术指证。②严格遵循手术原则、标准、条件与时机。③术前充分进行医患沟通。④手术技巧。⑤手术并发症的诊断与处理。⑥其他提高手术效果的新措施。

Artificial urinary sphincter （AUS） implantation is a gold standard for the treatment of urinary incontinence resulting from the urinary sphincter damage due to various reasons. This article describes the clinical experience on how to improve the outcome of AUS implantation surgery in order to reduce and deal with short term and long-term complications. It includes： ①strict surgical indication, ②strictly follow the operation principles, standards, conditions and timing, ③effective preoperative communication between the patients and doctors, ④perfect surgical techniques, ⑤prompt diagnosis and treatment of surgical complications, ⑥other new measures to improve surgical results.