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在前列腺癌幸存者中使用生殖尿道假肢,接受了激进前列腺切除术的治疗
Louis A Aliperti1, Dattatraya Patil1, Christopher P Filson1,2,3
1Department of Urology, Emory University School of Medicine, Atlanta, Georgia.
Urology practice
|June 14, 2023
概括
在急性前列腺切除术后,为勃起功能障碍或失禁而进行的生殖尿道假体手术很少见. 老年,糖尿病男性更有可能接受这些设备.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 假肢外科手术 假肢外科手术
- 男人的健康 男人的健康
背景情况:
- 激进的前列腺切除可以导致勃起功能障碍和尿失禁.
- 生殖尿道假体手术为耐火病例提供了解决方案.
- 对前列腺切除术后这些手术的基于人口的数据有限.
研究的目的:
- 在以人口为基础的队列中描述尿生殖器假肢手术的使用情况.
- 分析激进前列腺切除术后接收这些设备的相关因素.
主要方法:
- 使用了MarketScan®商业索赔数据 (2009-2015年).
- 鉴定了经过激进前列腺切除术 (2009-2010年) 的男性.
- 鉴于患者的人口统计和并发性疾病,评估了生殖尿道假肢设备的接收情况.
主要成果:
- 在23813名男性中,3.07%的男性在前列腺切除术后接受了生殖尿道假肢装置.
- 阴茎假肢 (1.6%) 是最常见的,其次是男性子 (1.0%) 和人工泌尿器关节 (0.5%).
- 年长的男性 (57.1岁对55.5岁) 和患有糖尿病的男性 (31.9%对22.6%) 更有可能接受假肢手术.
结论:
- 对于前列腺切除术后的失禁或勃起功能障碍的生殖尿道假体手术是罕见的.
- 高龄和糖尿病与设备植入的可能性增加有关.
- 同病症和地理区域并没有显著影响假肢手术率.
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