前列腺增生症患者术后排尿异常的尿动力学诊断及治疗

Urodynamic analysis for patients with sustained symptoms after prostatectomy

目的 :探讨前列腺增生症术后症状未改善患者的尿动力学改变及再次治疗的方法。方法 :对前列腺增生症术后排尿症状未改善 1 5例患者进行尿动力学检查 ,并根据结果选择治疗方法。结果 :4例患者存在不稳定性膀胱 (4/ 1 5) ;逼尿肌收缩乏力 3例 ;膀胱出口梗阻 5例 ;外括约肌痉挛 2例 ;真性尿失禁 1例。采用不同方法治疗后有效 1 3例 ,无变化 1例。结论

Aim:To explore the urodynamic changes of the patients with sustained symptoms after prostatectomy.Methods: Urodynamic data of 15 patients with sustained symptoms after prostatectomy were analyzed. Results: Detrusor instability in 4 cases,weak contractility in 3 cases, bladder outlet obstruction in 5 cases,exteral sphincter spasm in 2 cases,and real incontinence in 1 case were found.Conclusions:Urodynamics play a key role in the identification of the causes of the sustained symptoms after prostatectomy.