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在机器人辅助激进前列腺切除术后的不同时间段内,尿失禁恢复的预测因素的变化
Masahiro Nitta1, Moeko Tazawa1, Kumpei Takahashi1
1Department of Urology, Tokai University School of Medicine, Kanagawa, Japan.
Asian journal of endoscopic surgery
|September 23, 2023
概括
更长的膜性尿道长度 (MUL) 预测前列腺切除术后6个月内更好地恢复尿失禁. 大的前列腺体积和高的BMI会对超过6个月的恢复产生负面影响.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 重建性泌尿器科重建性泌尿器科
背景情况:
- 泌尿功能障碍是前列腺切除术后经常出现的并发症.
- 确定尿失禁恢复的预测因素对于患者管理至关重要.
研究的目的:
- 为了确定预测在不同时间点的尿失禁恢复后机器人辅助腹腔镜激进前列腺切除术 (RARP) 的因素.
主要方法:
- 对419名接受RARP治疗的患者进行了回顾性分析,随访时间至少为1年.
- 尿失禁定义为每天0个尿片.
- 预测者在手术后3,3-6个月和6-12个月评估.
主要成果:
- 自制率为12.9% (3个月),21.2% (6个月) 和40.2% (12个月).
- 膜尿道长度 (MUL) ≥11毫米,预计在3个月和3-6个月内保持不孕 (OR 0.367,P=.003;OR 0.354,P=.001).
- 大前列腺体积和高BMI预测大陆患者在6-12个月之间恢复较差 (OR 1.973,P=.044;OR 2.874,P=.027).
结论:
- 较长的MUL与RARP后更早的尿失禁恢复有关.
- 大的前列腺体积和高的BMI是6个月以后恢复的不利预测因素.
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