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囊式切除经阴道网:长期结果
Katherine Anderson1, Marie-Aimée Perrouin-Verbe1, Lily Bridgeman-Rutledge1
1Bristol Urological Institute, Southmead Hospital Bristol UK.
BJUI compass
|August 28, 2023
概括
用于挤出应激性尿失禁 (SUI) 和骨盆器官脱落 (POP) 的囊镜网格切除网格提供了高患者满意度和良好的功能结果. 大多数女性会重复手术,尽管有些人经历了反复的 incontinence.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
- 骨盆重建手术 骨盆重建手术
背景情况:
- 尿道中的网状侵蚀是压力尿失禁 (SUI) 和骨盆器官脱落 (POP) 手术的并发症.
- 这种并发症可能会导致患者严重的痛苦,包括复发性感染和排泄功能障碍.
研究的目的:
- 为了评估长期的生活质量和功能结果后囊镜切除的SUI和POP网格挤出到尿路.
- 评估与这种微创手术方法相关的患者满意度和发病率.
主要方法:
- 对接受囊泡视网切除的妇女的回顾性图表审查 (2013年4月至2021年8月).
- 收集的数据包括患者人口统计,提出投诉和手术技术 (Ho-YAG激光或双极环切除).
- 通过验证的问卷 (UDI-6,EQ-5D-5L,ICIQ-S) 和关于性功能的问题来评估术后的结果.
主要成果:
- 27名妇女接受了囊镜切除;中位数年龄为61岁.
- 复发性尿路感染 (67%) 是最常见的表现.
- 在24个月的中位数随访后,80%的网格切除成功,100%会再次接受手术,50%报告性功能得到改善.
结论:
- 囊镜网格切除是一种安全有效的程序,适用于适当选择的女性,用挤出的SUI/POP网格.
- 在长期随访中观察到高患者满意度和可接受的功能结果.
- 共享决策对于管理患者对网格切除结果的期望至关重要.
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