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我们认为尿道球部压迫法治疗前列腺切除术或尿道括约肌切开术后所发生的男性尿失禁仍有可取之处。这方法简单而相对地并发症较少。但这种方法只提供被动的阻力而不能抵抗膀胱内压的骤然增加,故治疗后轻度的应力性尿失禁并非少见。本组184例中有61例(33％)获完全满意的效果,患者排尿佳良无残余尿且不必应用尿垫。另51例尚有些应力性尿失禁的情况,但结果也可以说是令人满意的。故可以说有61％病例因手术而获得肯定的良好效果。本组有20例(11％)术后有较严重的并发症。在最后的50例我们应用新的改良方法并加用移植物,并发症发生率减少到7％。应用这种新的方法后尚有机会应用注射法来调整压迫尿道的压力,这就胜过了其它被动压迫方法。
We think there is still a merit in urinary incontinence of male patients after urethral compression surgery for prostatectomy or urethral sphincterotomy. This method is simple and relatively less complicated. However, this method only provides passive resistance and can not resist the sudden increase of bladder pressure. Therefore, mild stress urinary incontinence after treatment is not uncommon. In this group of 184 cases, 61 patients (33%) were completely satisfied with the results of patients with good urination without residual urine and without the need for urinary pad. The other 51 cases still have stress urinary incontinence, but the results can be said to be satisfactory. Therefore, 61% of the cases can be said to be affirmative and good results due to surgery. The group of 20 patients (11%) had more serious complications. In the last 50 cases, we applied new improved methods and implanted them with a reduction in the complication rate to 7%. After applying this new method, there is still an opportunity to apply the injection method to adjust the pressure on the urethra, which surpasses other passive methods of compression.