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年龄对机器人辅助激进前列腺切除术后长期尿失禁的影响
Cristina Cano Garcia1,2, Mike Wenzel1, Clara Humke1
1Department of Urology, University Hospital Frankfurt, Goethe University Frankfurt, 60590 Frankfurt am Main, Germany.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
年轻的年龄显著改善了机器人辅助激进前列腺切除术后的长期尿失禁. 60岁或更年轻的患者有更好的结果,强调了年龄在患者教育和知情同意方面的重要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 外科手术的结果
背景情况:
- 尿失禁是前列腺癌治疗后生活质量的关键因素.
- 机器人辅助激进前列腺切除术 (RARP) 是前列腺癌的常见治疗方法,具有不同的功能结果.
- 患者年龄对RARP后长期尿的影响需要进一步阐明.
研究的目的:
- 为了研究患者年龄和RARP后长期尿 (≥12个月) 之间的关联.
- 为了确定年龄是否是前列腺切除术后尿失禁的独立预测因素.
主要方法:
- 2014年1月至2021年1月期间接受RARP的201名患者的回顾性分析.
- 患者分为三个年龄组:≤60岁,61-69岁和≥70岁.
- 使用多变量逻辑回归来评估年龄组与长期尿失禁之间的关系.
主要成果:
- 在RARP后12个月的尿率为90% (≤60岁),84% (61-69岁) 和69% (≥70岁) (p=0.018).
- 最年轻年龄组 (≤60岁) 的患者尿的几率明显更高 (OR 4.73,p=0.015).
- 与最年长组相比,61-69岁的患者也表现出更好的抑郁能力 (OR 2.94,p=0.017).
结论:
- 年龄较小,特别是≤60岁,是RARP后更好的长期尿的重要预测因素.
- 这些发现对于前列腺癌手术前的患者咨询和知情同意讨论至关重要.
- 在设定机器人前列腺切除术后功能恢复的期望时,应考虑年龄.
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