盆腔器官脱落综合征和下泌尿道症状更新:有什么新鲜事?
Gaetano Maria Munno1, Marco La Verde1, Davide Lettieri1
1Obstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Healthcare (Basel, Switzerland)
|May 27, 2023
概括
盆腔器官脱落 (POP) 与下泌尿道症状 (LUTS) 有关,但POP阶段与LUTS严重程度无关. 形手术可以改善过度活动的膀 (OAB) 症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 盆腔健康 盆腔健康
背景情况:
- 骨盆器官脱落 (POP) 和下泌尿道症状 (LUTS) 之间的关系是复杂的.
- 最近的科学文献为这种联系提供了不断演变的见解.
研究的目的:
- 审查 POP 和 LUTS 之间的联系的流行病学,临床,外科,预后和仪器方面的问题.
- 综合当前关于这些条件之间的相互作用的证据.
主要方法:
- 对最近的科学文献进行叙述性回顾.
- 搜索了主要的数据库 (PubMed,Embase,Scopus,Google Scholar,Cochrane) 使用关键词"盆腔器官脱落"和"下尿路症状".
- 排除了病例报告,系统综述,非英语文章和专注于外科手术技术的研究.
主要成果:
- 在POP和LUTS之间存在着重要的联系.
- 膀出口阻塞 (BOO) 可能有助于过度活跃的膀 (OAB) 的发展.
- 在POP的阶段和LUTS的严重程度之间没有发现直接的相关性.
- 手术纠正形可以改善或消除OAB症状.
- 术后持续性或新的OAB的预测因素包括高BMI,神经问题,65岁以上的年龄和症状严重程度.
- 神经病理,BOO,围功能障碍,手术前症状严重程度,以及严重的前部脱落预测排空障碍.
- 尿动力学建议在特殊情况下,如压力尿失禁和手术规划.
结论:
- 手术纠正脱落是一个主要的治疗dtrusor低活性.
- 解决脱落问题对于管理POP和OAB患者至关重要.
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