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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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在尿道收紧患者中,HUD与CIC的结果
Jalil Hosseini1, Ali Mohammad Mirjalili2, Rayka Sharifian3
1Men's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
American journal of men's health
|October 9, 2023
概括
液压尿道扩张 (HUD) 是一种比干净间歇性导管 (CIC) 更有效的非手术治疗尿道狭窄. HUD显著减少了重复手术和尿路感染的需要,改善了患者的生活质量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 重建性手术是一种重建性手术.
- 最少侵入性手术的方法
背景情况:
- 尿道狭窄的治疗是复杂的,之前的手术增加了 incontinence 的风险.
- 寻求非手术选择,以避免与重复的手术干预相关的并发症.
研究的目的:
- 为了比较干净间歇性导管 (CIC) 和液压尿道扩张 (HUD) 对症状性尿道狭窄的疗效.
- 评估结果,包括尿路感染率,需要手术和患者的生活质量.
主要方法:
- 一项随机对48名患有症状性尿道狭窄的患者进行的研究.
- 患者被分配到CIC (基于尼拉顿的扩张) 或HUD.
- 在12个月内使用患者报告的措施 (USS-PROM),感染率和需要手术的结果进行评估.
主要成果:
- 4名HUD患者需要手术,而15名CIC患者需要手术.
- 尿路感染 (UTI) 和需要手术干预的情况在CIC组显著更高.
- 患者报告的结果 (皮林的空白图片和EQ-VAS得分) 在HUD组显著改善.
结论:
- 液压尿道扩张 (HUD) 是一种安全,有效和耐受良好的在家治疗尿道狭窄的方法.
- 与CIC相比,HUD显著减少了对重复手术和住院的需求.
- 在尿道狭窄的患者中,HUD改善了患者报告的结果和生活质量.
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