对文献的综述和对阴茎骨折管理的建议算法
Juliet Hardesty1, Ramzy T Burns2, Mary E Soyster2
1School of Medicine, Indiana University, Indianapolis, IN 46202, United States.
Sexual medicine reviews
|October 3, 2023
概括
立即的手术修复为阴茎骨折提供了更好的结果. 即使是延迟呈现 (>24小时) 也可以从外科干预中获益,为获得最佳患者结果,建议进行标准化的随访.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 创伤外科 手术 创伤外科
背景情况:
- 阴茎骨折管理传统上倾向于立即进行手术修复,而不是保守的方法.
- 对延迟阴茎骨折呈现 (>24小时) 的最佳治疗策略仍在争论中.
研究的目的:
- 审查关于阴茎骨折管理的当前文献.
- 为延迟阴茎骨折治疗提出一个基于证据的算法.
主要方法:
- 根据PRISMA-P 2020指南进行了全面的文献搜索.
- 对20项选定的研究进行系统审查,重点关注诊断成像,手术时间,方法和并发症.
- 纳入标准集中在阴茎骨折管理策略上.
主要成果:
- 阴茎骨折的立即手术修复产生了优越的患者结果.
- 手术干预即使在延迟呈现 (>24小时) 时也是有益的.
- 标准化的术后随访对于评估勃起功能和阴茎曲等长期结果至关重要.
结论:
- 阴茎骨折的立即和延迟的手术修复都能取得令人满意的结果.
- 延迟发生阴茎骨折的患者应考虑进行手术治疗.
- 需要进行进一步的研究,并进行标准化的随访,以充分了解长期影响.
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