使用应激储来改善人工泌尿关节植入后的尿泄漏
Ghazal Ameli1, Peter Weibl2, Michael Rutkowski2
1Department of Urology, Teaching Hospital, Clinic of Korneuburg, Wienerring 3-5, 2100, Korneuburg, Austria. ghazalameli@outlook.com.
International urology and nephrology
|August 27, 2023
概括
将压力缓解水库 (SRR) 添加到人工尿道 (AUS) 中,可以改善在增加腹部压力时出现尿泄漏的患者的尿. 这种微创手术为AUS植入后持续性失禁的管理提供了一个新的选择.
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
- 手术创新 在外科创新.
背景情况:
- 人工泌尿 (AUS) 对于尿失禁是有效的,但有些患者在更高的腹内压力下会出现泄漏.
- 在AUS之后的持续性失禁需要改进治疗策略.
- 开发了一个减压储 (SRR),以增加向AUS封闭袖口的被动压力传输.
研究的目的:
- 在AUS植入后患有持续性尿失禁的患者中,评估额外的减压水库 (SRR) 的有效性.
- 评估SRR在增加腹内压力时对尿液泄漏的影响.
主要方法:
- 在AUS植入后持续性失禁的80名患者 (2011-2018) 的回顾性分析.
- 在第二次手术中,12名在腹内压力升高期间泄漏的患者接受了SRR.
- 收集了有关并发症,子使用情况和患者报告的失禁结果的数据.
主要成果:
- 在所有12名患者中,SRR植入在技术上是成功的,没有手术内并发症.
- 在SRR之后,平均子使用量显著下降,从每天3个子减少到1.7个子 (p=0.001).
- 92%的患者报告了良好的,良好的或令人满意的抑郁,在体力炼期间有所改善.
结论:
- 压力缓解水库的植入是一种可行的,对于AUS后持续性尿失禁的选定患者来说是最少侵入性的选择.
- 在因腹腔内压力增加而出现泄漏的患者中,SRR可以增强抑郁并改善生活质量.
- 需要进一步的研究来确定这种方法的更广泛的临床相关性.
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