球部尿道悬吊术治疗男性尿失禁的探讨

Bulbourethral suspension in treatment of male incontinence

目的 探讨球部尿道悬吊术对男性后尿道成形术后和前列腺切除术后尿失禁的治疗效果。 方法 从手术方法和术后尿动力学指标及临床效果方面 ,对采用球部尿道悬吊术治疗的男性尿失禁 1 2例病例作回顾性分析。 结果 术后 1 0例能完全控制排尿 ,1例改善 ,1例出现排尿困难 ,经膀胱颈部电切后排尿通畅。尿动力学检查示最大尿道压 85～ 1 1 5cmH2 O(1cmH2 O =0 0 98kPa) ,平均 98cmH2 O ;功能性尿道长度 3 5～ 4 5cm ,平均 3 8cm。

Objective To explore whether bulbourethral suspension procedure is effective for the treatment of male urinary incontinence of post prostatectomy and posterior urethroplasty. Methods Twelve male patients with urinary incontinence undergone bulbourethral suspensive operation were reviewed and analyzed with regard to the operation method, postoperative urinary dynamics and clinical results. Results Ten patients resumed complete control of urination and 1 was improved. In one patiet, postoperative difficulty occurred in voiding but corrected by transurethral bladder neck revision for free passage of urine and continence. Urodynamic study showed that the maximum urethral pressure ranged from 85 to 115 cm H 2O (mean 98 cm H 2O, 1 cm H 2O=0 098 kPa). The functional urethral length ranged from 3 5 to 4 5 cm (mean 3 75 cm). Conclusion Bulbourethral suspension procedure is effective in the treatment of male urinary incontinence after prostatectomy and posterior urethroplasty.