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耻骨上经膀胱前列腺摘除术后尿失禁

Urinary incontinence complicated suprapubic transvesical prostatectomy

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【作者】 王跃闽凡杰周玉海邱建新陈军谢桐

【Author】 Wang Yue-min;Fan Jie;Zhou Yu-hai; et al.( Department of Urology, The lst People’s Hospital,Shanghai 200853 )

【机构】 上海市第一人民医院泌尿外科

【摘要】 1988年8月~1992年8月行耻骨上经膀胱前列腺摘除术220例,其中20例(9.1%)术后早期出现尿失禁症状,14例随访半年后症状消失,6例(2.7%)仍有持续性尿失禁。前列腺术后尿失禁的发生与术前合并尿路感染、膀胱结石、合并有神经系统疾病以及前列腺过大或过小有关。通过20例患者的尿流动力学检查,认为尿流动力学对前列腺术后尿失禁的诊断、分型、预测预后和治疗方案的制定有很大帮助。

【Abstract】 Suprapubic transvesical prostatectomy was performed from Aug. 1988 to Aug. 1992 for 220 eases of BHP and early postoperative urinary incontinence occurred in 20 (9.1 %) . 14 patients have been free from incontinence with in 6 months of postoperative follow up while incontinence has still persisted in the other 6. The complication was somewhat related to the presence of preoperative urinary infection , vesical calculi, in those with neurological diseases and the size of the prostate was too large or too small. Urodynamic studies have been done in all the 20 patients and was found to be of great help to the diagnosis, classification,prognosis and management of the complicated incontinence.

【关键词】 前列腺切除术尿失禁
【Key words】 Prostatectomy Urinary incontinence
  • 【文献出处】 中华泌尿外科杂志 ,CHINESE JOURNAL OF VROLOGY , 编辑部邮箱 ,1994年01期
  • 【分类号】R699
  • 【被引频次】11
  • 【下载频次】38
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