经尿道前列腺电切术后尿失禁原因的尿流动力学分析

目的 :探讨尿流动力学检查在诊断经尿道前列腺电切术 (TURP)后尿失禁中的作用。　方法 :37例TURP术后尿失禁患者接受了尿流动力学检查 ,包括膀胱压力容积测定 (CMG)、压力 流率分析、静态尿道压力描计(RUPP)及应力性漏点压 (SLPP)测定 ,必要时结合膀胱尿道造影。　结果 :16例患者诊断为运动急迫性尿失禁 ,2例诊断为感觉急迫性尿失禁 ,17例诊断为压力性尿失禁 ,2例诊断为充溢性尿失禁。　结论 :通过尿流动力学能够准确判断TURP术后尿失禁类型 ,从而为选择正确的治疗方法提供客观依据

Urodynamic Analysis of Urinary Incontinence after Transurethral Resection of Prostate

Objective: To investigate the value of urodynamic test in the diagnosis of postoperative incontinence after transurethral resection of the prostate(TURP). Methods: Thirty-seven patients with urinary incontinence after TURP received urodynamic tests, including cystometry(CMG), pressure-flow study, rest urethral pressure profilometry(RUPP) and stress leak-point pressure (SLPP) measurement. Urethrocystography was taken when necessary. Results: Of the 37 cases, 16 were diagnosed as motor urge urinary incontinence, 2 as sensory urge urinary incontinence, 17 as stress urinary incontinence and 2 as overflow urinary incontinence. Conclusion: Different types of urinary incontinence after TURP can be clearly distinguished by urodynamic tests, which provides objective basis for the choice of adequate treatment.