| 摘要 |
A method and apparatus for controlling urinary incontinence in a patient includes positioning a reservoir (22) containing fluid subcutaneously over the patient's anterior pubis (16); an inflatable compression balloon (24, 66) between the patient's posterior pubic symphysis and bladder neck/urethra (12, 14); and a fluid conduit (26) extending over the pubis between the reservoir and said compression balloon. The compression balloon is inflated in response to fluid flow from said reservoir, when manually compressed by the patient. A manually releasable, one-way valve (46) positioned in the conduit retains fluid in the compression balloon under pressure and is externally actuable by the patient for equilibrating pressure to permit voiding. The bladder of the patient is elevated and connected anteriorly to the patient's abdominal wall by a felt matrix or mesh patch (30, 32) affixed to the bladder to effectively lengthen and stabilize the urethra. The compression balloon is arranged and positioned to compress in an inferior-posterior direction solely against an extended area the anterior side of urethra for occluding the urethra. |
