Intercavernous Embedding of Bulboperineal Urethra in the Treatment of Male Urinary Incontinence after Prostate Operation

Ｂｅｎｉｇｎｐｒｏｓｔａｔｅｈｙｐｅｒｐｌａｓｉａ (ＢＰＨ)ｉｓａｃｏｍ ｍｏｎａｎｄｒｏｐａｔｈｙｄｉｓｅａｓｅａｍｏｎｇｏｌｄｍｅｎ .ＭｏｒｂｉｄｉｔｙｏｆＢＰＨｉｎｔｈｅｃｌｉｎｉｃａｌｇｒｏｕｐａｇｅｄｆｒｏｍ 50 80ｙｅａｒｓｒａｎｇｅｓｆｒｏｍ 45% 82 % .Ａｎｄｔｈｅｉｎｃｉｄｅｎｃｅｒａｔｅｏｆｐｒｏｓｔａｔｅｃａｒｃｉｎｏｍａ (ＰＣａ)ｈａｓｒｉｓｅｎｂｙ 3 5% 1 78%ｉｎｔｈｅｐａｓｔ2 0 ｙｅａｒｓ1 ] .Ｍａｌｅｕｒｉｎａｒｙｉｎｃｏｎ ｔｉｎｅｎｃｅｍｉｇｈｔｏｃｃｕｒａｆｔｅｒｔ…

Intercavernous Embedding of Bulboperineal Urethra in the Treatment of Male Urinary Incontinence after Prostate Operation

Objective To describe the operation procedure of intercaverous embedding of bulboperineal urethra and evaluate its efficacy on male urinary incontinence after prostate operation. Methods This kind surgical treatment was given to six cases after prostate operation with urinary incontinence over 20 months who had no benefits from conservative therapy . Prepared bulboperineal urethra along its entire length and then embedded perineal urethra between corpora that were closed with sutures. U shaped suture was placed on bulbous urethra and anchored distally to corpora. Results Follow up ranged from 9 months to 6 years. Five cases had complete urinary continence.One case experienced considerable improvement after secondary embedding of bulbous urethra because of first failure. Conclusions The etiology of male urinary incontinence is proximal and distal sphincteric mechanism damage following either prostatectomy or urethra balloon dilatation . Surgical treatment was performed for those urinary incontinent patients over 12 months after conservative treatment . The technique of embedding bulboperineal urethra is easily performed .This procedure can be bring out a good result with fewer side effects.