尿囊分泌器:一个单一中心的经验,在使用机器人平台来管理耐火性下尿道症状
Sarosh Janardanan1,2, Anurag Nigam2, Dimitrios Moschonas2
1Department of Urology, Ashford and St Peter's National Health Services Foundation Trust, Chertsey, GBR.
Cureus
|August 25, 2023
概括
机器人膀分泌器切除术 (RBD) 有效地治疗由尿膀分泌器 (UBD) 引起的耐火性下尿路症状 (LUTS) 和反复性尿路感染 (UTIs). 这种安全的手术可显著改善精选患者的膀排空和症状评分.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 机器人手术 机器人手术
背景情况:
- 膀分泌器 (UBD) 经常呈现出模仿其他泌尿病的症状,使诊断和管理复杂化.
- 持续的下尿路症状 (LUTS) 和反复的尿路感染 (UTI) 可以显著影响生活质量.
- 对于复杂的UBD病例,标准治疗可能会失败,需要先进的外科干预.
研究的目的:
- 为了评估机器人膀分泌切除术 (RBD) 对获得的UBD的安全性和有效性.
- 评估耐火性LUTS和对其他治疗无反应的复发性尿路感染患者的结局.
- 分析RBD后的功能和症状改善.
主要方法:
- 在2016-2021年期间,从六名因持续性LUTS/UTI接受RBD的患者回顾性收集数据.
- 排除患有分泌癌,有助于疾病的患者或同时进行的手术的患者.
- 分析基线特征,泌尿动力学发现,手术前/手术后结果和六个月的随访.
主要成果:
- 清空后残留量 (PVR) 显著减少 (249毫升至32.6毫升,p=0.016) 和国际前列腺症状评分 (IPSS) (27.83至8,p=0.0001).
- 所有患者报告症状改善,停止了干净间歇性自导管 (CISC),并且在组织学上没有恶性病变.
- 平均手术时间为166分钟,血流量最小 (75毫升),住院时间短 (1.6天).
结论:
- 机器人膀分泌切除术 (RBD) 是一种安全有效的治疗方法,用于精心挑选的由于UBD而患有耐火性LUTS和尿路感染的患者.
- 在RBD中,功能性结果显著改善,包括减少PVR和增强症状得分.
- 该程序提供了良好的术后结果,支持其在管理复杂的膀分泌器病例时的考虑.
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