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在患有急性和慢性尿失禁的男性中,水的结果
Claire S Burton1, Amy D Dobberfuhl1, Craig V Comiter1
1Stanford University School of Medicine, Department of Urology, Palo Alto, CA.
Urology
|July 13, 2023
概括
Aquablation有效地治疗男性的尿,其中98%的人实现了自发排泄. 患有急性保留症的男性可能会在Aquablation手术后受益于没有导管的延迟试验.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 前列腺健康 前列腺健康
背景情况:
- 在患有良性前列腺增生症的男性中,尿构成重大挑战.
- 机器人喷水切除技术Aquablation提供了一种新的前列腺组织切除方法.
研究的目的:
- 评估Aquablation在患有急性或慢性尿路滞留的男性中的疗效和安全性.
- 为了比较患有和没有手术前尿路滞留的经历了水的男性之间的结果.
主要方法:
- 从2021年5月到2022年8月,对113名从2021年5月到2022年8月接受Aquablation的男性进行了回顾性评估.
- 尿的分类:急性 (需要导管) 和慢性 (空腔后残留量>300毫升).
- 对比成功率,没有导管的试验时间和并发症率.
主要成果:
- 98%的急性或慢性留的男性在5个月的随访中实现了自发排泄.
- 与没有 (7.2%) 相比,在手术前尿路保留 (40%) 的男性中观察到更高的初始空白试验失败率.
- 术后药物使用,并发症或尿动力学参数在保留组之间没有显著差异.
结论:
- 水是男性尿的安全有效治疗方法,不论手术前尿动力学状况如何.
- 没有导管的延迟试验可能对由于初始空气试验失败率较高而导致急性尿的男性有益.
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