The Scrotal Flap Technique as an Operative Method for the Treatment of Iatrogenic and Posttraumatic Male Incontinence

Schmiedt, E

doi:10.1007/978-3-642-70436-9_18

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1987

2008

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Cited by 3 publications

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“…The importance of the pelvic floor muscles for continence during stress is emphasized by the success of surgical techniques for restitution of continence in which contractile tissues (such as a pedicled detrusor flap [16]) or acontractile tissues (such as a urethral diverticulum or a pedicled scrotal skin flap [22,31]) are intussuscepted into the Urethra.…”

Section: Introductionmentioning

confidence: 99%

Fascial Sling for Treatment of Urinary Incontinence in Males

Thüroff¹,

Hohenfellner²,

Schultz-Lampel³

2008

Aktuel Urol

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Section: Introductionmentioning

confidence: 99%

Fascial Sling for Treatment of Urinary Incontinence in Males

Thüroff¹,

Hohenfellner²,

Schultz-Lampel³

2008

Aktuel Urol

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Pelvic Floor Stress Response: Reflex Contraction with Pressure Transmission to the Urethra

Thüroff¹,

Casper²,

Heidler³

1987

Investigative Urology 2

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Pelvic Floor Stress Response: Reflex Contraction with Pressure Transmission to the Urethra

1987

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There is still controversy regarding the active role of striated intramural and periurethral muscles and their relative share of function for urinary continence under stress conditions. To evaluate the function of the periurethral muscles, we subjected a dog model to the physiologic stress condition created by sneezing. Simultaneous measurements of intravesical and three urethral pressures were obtained in the intact urinary tract and in a noncontractile substitute urethra, which was pulled through the pelvic floor and studied with and without additional pelvic floor suspension. The data clearly confirm the active role of striated sphincteric muscles for continence under stress conditions. The reflex contraction of the striated sphincteric muscles constitutes the majority of the distal urethral closure mechanism under stress conditions and generates intraurethral pressures, which exceed those of passive transmission of intra-abdominal pressure. The intramural striated sphincter contributes a share of less than 10% to this stress response, while the vast majority of the pressure rise is generated by the periurethral striated muscles. Surgical suspension of the pelvic floor can enhance effectivity of this stress mechanism, and thus seems to be a sound physiological concept in surgical treatment of incontinence.

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The Scrotal Flap Technique as an Operative Method for the Treatment of Iatrogenic and Posttraumatic Male Incontinence

Cited by 3 publications

References 11 publications

Fascial Sling for Treatment of Urinary Incontinence in Males

Fascial Sling for Treatment of Urinary Incontinence in Males

Pelvic Floor Stress Response: Reflex Contraction with Pressure Transmission to the Urethra

Pelvic Floor Stress Response: Reflex Contraction with Pressure Transmission to the Urethra

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