适应性尿失禁的可调节的转闭器男性系统 (ATOMS):证据越来越多
Mohit Bajaj1, Chris Frampton2, Giovanni Losco3
1Tauranga Hospital, Tauranga, New Zealand.
BJU international
|July 6, 2023
概括
可调节的转闭器男性系统 (ATOMS) 有效地治疗男性压力尿失禁 (SUI),大多数患者达到干燥和改善子使用. 这种新的设备提供了安全的,可调节的失禁管理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 节制管理 节制管理
背景情况:
- 压力尿失禁 (SUI) 对许多男性的生活质量产生重大影响.
- 可调节的转闭器男性系统 (ATOMS) 是一种用于管理SUI的新型设备.
研究的目的:
- 评估新西兰ATOMS设备的临床经验,疗效和安全性.
- 评估所有程度的男性SUI的结果,这些SUI都使用ATOMS进行管理.
主要方法:
- 在2015年5月至2020年11月期间接受ATOMS的140名患者的回顾性评估.
- 术前和术后 (轻度,中度,重度) 的尿片使用评估SUI的严重程度.
- 主要结果:整体成功率 (pad使用改善) 和干燥率 (0-1 pad/day).
主要成果:
- 82.8%的患者进行了急性前列腺切除术后的SUI;18.6%的患者进行了先前的禁欲手术.
- 手术前每天使用4个子的中位数下降到手术后每天使用1个子 (中位数为11个月的随访).
- 取得了82.9%的成功率 (改善了使用率) 和76.4%的干燥率. 14.3%的人在90天内出现并发症.
结论:
- 该ATOMS设备证明了在治疗男性SUI时的安全性和有效性.
- 最少侵入性,长期可调节性为患者量身定制的失禁管理提供了显著的优势.
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