目前用于Cryptorchidism的实践:对儿科泌尿科医生的调查
David L Griffin1, Gina Cambareri2, George Kaplan3
1Department of Urology, Naval Medical Center San Diego, San Diego, California.
Urology practice
|August 18, 2023
概括
儿科泌尿科医生表现出多样化的做法,在管理密码症,往往不同于美国泌尿学会的指导方针. 经验影响了外科手术的方法,新手医生更喜欢特定的技术.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术管理的手术管理.
- 临床实践指南 临床实践指南
背景情况:
- 评估了儿科泌尿科医生的密码症管理实践.
- 目前的做法与2014年美国泌尿病学会 (AUA) 的指导方针进行了比较.
研究的目的:
- 评估目前在密症管理和查方面的实践模式.
- 将这些做法与已建立的AUA指南进行比较.
主要方法:
- 一个14个问题的调查分发给了儿童泌尿病学会 (SPU) 的成员.
- 该调查评估了目前在密码症管理和查方面的实践模式.
主要成果:
- 大多数受访者在特定情况下 (肥胖,双边非触觉丸) 使用超声波,尽管指南建议不这样做.
- 大多数受访者 (超过80%) 对双边非触觉丸进行内分泌检查,但超过55%的受访者即使有指示进行异常,也会进行手术检查.
- 实践时间影响了外科手术方法:经验较少的泌尿科医生更有可能使用2阶段的福勒-斯蒂芬斯和透器骨.
结论:
- 目前的儿科泌尿病实践模式与AUA对密码症的指导方针之间存在显著的不一致.
- 内分泌评估可能可以避免对异常症进行手术,但许多泌尿科医生仍然选择探索.
- 多年的实践似乎影响了用于密码症的评估,管理和手术策略.
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