真性尿失禁的手术治疗进展

Evolution in surgical management of genuine stress urinary incontinence

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摘要根据国际尿控协会（ICS）的定义,尿失禁指尿液自尿道不自主的流出[1].临床上尿失禁主要表现为压力性尿失禁（SUI）,急迫性尿失禁（UUI）及混合性尿失禁（MUI）. 真性尿失禁（GSI）在临床上属于压力性尿失禁范畴,又称真性压力性尿失禁（GSUI）.当用力、咳嗽、打喷嚏等动作导致腹压增加时,腹压传入膀胱使膀胱内压升高而逼尿肌并无收缩,当膀胱内压大于尿道压,出现尿液不自主流出,称为GSUI.膀胱颈部及尿道过度移动、尿道括约肌功能不足,均可导致GSI.男女均存在GSI,不过女性GSI患者远多于男性.女性GSI常是由于盆底支撑组织功能不全所引起,男性GSI常继发于前列腺疾病手术所导致的尿道括约肌功能损害.随着老年男性人口的增加,手术治疗前列腺疾患的数量也相应增多,男性GSI的比例也相应增加.

作者何乐业

机构地区中南大学湘雅三医院泌尿外科

出处《临床外科杂志》 2010年第11期731-733,共3页 Journal of Clinical Surgery

关键词真性尿失禁手术治疗进展

分类号 R694 [医药卫生—泌尿科学]

作者简介何乐业（1964-）,男,博士,教授,主任医师,硕士生导师.

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真性尿失禁的手术治疗进展

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