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尿失禁

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Results: All observed patients had good voiding without impotence and incontinence, except 1 failure due to exosmosis of urine.

结果:钻孔器组全部病例均排尿通畅,仅1例因术后并发尿外渗而致手术失败,均未出现术后阳痿及尿失禁等并发症。

Incontinence of urine and faeces is common.

尿失禁的尿液和粪便中是常见的。

OAB is characterized by a sudden, uncomfortable need to urinate with or without urge incontinence, and usually includes more frequent urination and nocturia (waking up at least once during the night to urinate).

本品获准上市是基于对789例OAB患者双盲安慰剂对照的Ⅲ期临床评价的研究结果。12周以上的研究,一日1次本品用药组解除OAB症状(减少尿失禁的发生率和尿频的次数,增加尿排空量)优于安慰剂组。

Sometimes it is useful to treat the OAB-DO (OverActive Bladder - Detrusor Overactivity) first to see if a minor degree of stress incontinence is tolerable if the bladder is treated.

有时是有益的对待的OAB -做(膀胱过度活动-逼尿肌过度)率先看到,如果一个小程度的应力性尿失禁是可以容忍的,如果是膀胱癌治疗。

The results demonstrated that the symptoms may be caused by reflexia neurogenic bladder as in 21 cases (61.7%), or areflexia neurogenic bladder as in 13 cases,(38.3%). 13 cases presenting with difficult micturition were caused by vesico-external sphincter dyssynergia while 8 cases with incontinence have normal vesico-external sphincter function.

结果显示有反射性膀胱21例(61.7%),其中逼尿肌外括约肌协同失调13例,排尿困难为主要表现;逼尿肌外括约肌协同正常8例,急迫性尿失禁为主要表现。

Cases presenting with difficult micturition were caused by vesico-external sphincter dyssynergia while 8 cases with incontinence have normal vesico-external sphincter function.

结果显示有反射性膀胱21例(61.7%),其中逼尿肌外括约肌协同失调13例,排尿困难为主要表现;逼尿肌外括约肌协同正常8例,急迫性尿失禁为主要表现。

Results in MUPP: We evaluated 43 patients with MUPP and manufactured some typical plots to diagnose some of the lower urinary tract disease, including BPH, functional bladder neck obstruction, detrusor-external sphincter dyssynergia, urethral stricture, the female stress incontinence, the female urethral meatal stenosis and so on.

一、MUPP检测结果:对43例有下尿路症状的病人进行了MUPP检测,制出了诊断下尿路疾病的典型图形,其中包括BPH、功能性膀胱颈部梗阻、逼尿肌-外括约肌协同失调、尿道狭窄、女性压力性尿失禁、以及女性尿道末端缩窄综合症等。

Congenital megaurethra may be associated with other systemic anomalies such as cardiac anomalies or intestinal malrotation, differing in type and seerity.

先天性巨尿道因病变的类型和严重程度不同可合并其他系统的异常,比如心脏畸形或肠旋转不良,先天性巨尿道可导致尿潴留、尿失禁、遗尿、巨膀胱,特殊情况下还可导致自发的膀胱破裂。

Constipation or impacted stool and diarrhoea are common causes of incontinence therefore dietary management may help prevent faecal incontinence from developing.

便秘或大便的影响和腹泻是常见的原因尿失禁因此,膳食管理,可能有助于防止大便失禁来自发展中国家。

Abstract] objective to assess the efficacy and safety of transurethral resection of prostatewith plasmakinetic technique and to improve the qualities of pkrp.methods the data of 273 patients with benign prostatic hyperplasiawere retrospectively studied baseing on the mastering of pkrp.the average maximum urinary flow rate,the average residual urinary volumeand the average international prostate symptom score were analysed.results pkrp was successfully performed on 273 patients.intraoperative blood transfusion was performed in 6 cases,no obturator nerve reflex,transurethral resection syndrome,permanent urinary incontinence occurred and no death cases occurred.the follow-up time was 2~26 months with an average of 5.63 months,postoperative average qmax increased to 15.9 ml/s,and ruv decreased to 16.0 ml/s and the average ipss was 9.compared with those of preoperation,the differences were significant.conclusion pkrp has superior tissue cutting function and hemostasis.it is suggested that transurethral bipolar plasmakinetic resection of prostate be effective and safe.

目的 探讨经尿道双极等离子前列腺切除术的安全性与有效性,提高pkrp质量。方法回顾性分析273例良性前列腺增生患者pkrp资料,比较手术前后最大尿流率、膀胱剩余尿量及国际前列腺症状评分。结果 273例手术均顺利完成,术中输血6例,无闭孔神经反射、永久性尿失禁、经尿道电切综合征及死亡病例,随访2~26个月,平均5.63个月,qmax平均增至15.9 ml/s,ruv平均降至16.0 ml,ipss平均9分。与术前相比,各项指标均有明显改善。结论 pkrp具有良好的组织切割功能及可靠的止血作用,治疗bph安全有效。

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