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前列腺外科手术、冷冻消融术、放射治疗以及尿道重建手术可导致医源性男性尿失禁(IMI),其中前列腺癌根治术是最常见的原因。IMI保守治疗方法有凯格尔训练和盆底肌肉电刺激等,而手术是有效的治疗方式,包括人工括约肌(AUS)植入术、球海绵体悬吊术、经尿道注射填充剂等。这些方法都是通过增加尿道阻力来达到治疗目的。AUS植入术被认为是前列腺切除术后尿失禁治疗的金标准,但它较高的并发症发生率和高昂的费用促使人们寻求更经济、更微创的治疗方法。
Prostate surgery, cryoablation, radiotherapy and urethral reconstruction surgery can lead to iatrogenic male incontinence (IMI), of which radical prostatectomy is the most common cause. IMI conservative treatment of Kegel training and pelvic floor muscle electrical stimulation, and surgery is an effective treatment, including artificial sphincter (AUS) implantation, ball cavernosal suspension, transurethral injection of fillers. These methods are through the urethral resistance to achieve the purpose of treatment. AUS implantation is considered as the gold standard for urinary incontinence after prostatectomy, but its high complication rate and high cost urge people to seek more economical and less invasive treatment.