文章：

人工尿道括约肌治疗中度前列腺切除术后尿失禁：研究现状与治疗策略探讨

Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach

原文发布日期：5 September 2023

DOI: 10.3390/cancers15184424

类型: Article

开放获取: 是

英文摘要：

Male urinary incontinence is a common complication after radical prostatectomy. The severity of incontinence can be assessed in various ways and helps determine the best surgical intervention to restore continence. While most patients with mild incontinence receive a sling and those with severe incontinence receive an artificial urinary sphincter (AUS), there are no clear guidelines on how to manage patients with moderate post-prostatectomy incontinence (PPI). Our discussion will focus on the current literature, which demonstrates that an AUS should be considered first-line in men with moderate PPI despite perceived concerns over complications and reintervention rates.

摘要翻译： 

男性尿失禁是根治性前列腺切除术后常见的并发症。失禁严重程度可通过多种方式评估，有助于确定恢复控尿功能的最佳手术干预方案。虽然轻度失禁患者多接受吊带术，重度失禁患者多采用人工尿道括约肌植入术，但对于中度前列腺切除术后尿失禁患者的治疗方案尚无明确指南。本文基于现有文献展开讨论，研究表明尽管存在对并发症和再干预率的顾虑，人工尿道括约肌植入术仍应作为中度前列腺切除术后尿失禁患者的一线治疗方案。

原文链接：

Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach