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男性の尿失禁のためのATOMS®調整スリングを受けた患者の決定の満足度と後悔:第3レベルの紹介センターからのデータ
Alessandro Giammò1,2,3,4,5,6, Riccardo Lombardo7,8,9,10,11,12, Paolo Geretto1,2,3,4,5,6
1Unit of Neuro-Urology, Città Della Salute E Della Scienza University Hospital, University of Turin, Turin, Italy.
International urology and nephrology
|September 2, 2025
まとめ
ストレス性尿失禁に対する調整可能なトランス・オブトレーター・マール・システム (ATOMS) のインプラントは良い結果をもたらしますが,一部の患者は後悔します. 放射線治療や抑止状態などの 手術前の要因は 後悔を予測し 患者に合わせたカウンセリングを 強調します
科学分野:
- 泌尿器科
- 外科 革新
- 患者による報告結果
背景:
- ストレス性尿失禁 (SUI) は,生活の質に大きな影響を及ぼします.
- 調整可能なトランス・オブトレーター・マール・システム (ATOMS®) は,SUIの治療オプションです.
- 患者の満足度と後悔の評価は 治療の成功の評価に不可欠です
研究 の 目的:
- SUIのATOMS®インプラント化後の治療満足度と決定後悔を評価する.
- ATOMS®手術を受けた患者の決定的な後悔の予測要因を特定する.
主な方法:
- 134人のSUI患者で実施された後見観察コホート研究.
- データには,人口統計,控えめ状態,合併症 (Clavien- Dindo),患者による報告結果 (ICIQ- UI SF) が含まれていた.
- 決定後悔スケール (DRS) を用いて決定後悔を評価し,ロジスティック回帰で予測値を分析した.
主要な成果:
- 患者の平均年齢は72歳で,30%が中等から重度の後悔を報告した.
- 前回の放射線治療,糖尿病,手術前のパッド使用量増加,手術後のICIQ-UI SFスコア低下に関連した後悔.
- 後悔の独立予測指標は,放射線治療 (OR 3. 09),手術前ICIqスコア (OR 1.49) および手術後のパッド使用 (OR 5.58) です.
結論:
- ATOMS®のインプラントは,SUIの好ましい客観的な結果を示しています.
- 術前放射線治療とベースラインの不妊状態の影響で,決定的な後悔が起こることがあります.
- 手術前カウンセリングは 期待をコントロールし 患者の結果を改善するために不可欠です
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