泌尿器科植入物中的认知障碍的影响:叙述性审查
Darren J Bryk1, Jacqueline Zillioux1, Emmett H Kennady1
1Department of Urology, University of Virginia, Charlottesville, VA, USA.
Translational andrology and urology
|October 10, 2023
概括
随着人口老龄化,认知障碍可能会影响尿道植入物 (如阴茎假体,人工泌尿关节 (AUS) 和神经神经调节 (SNM)) 的结果. 对认知衰退的查对于患者选择和术后护理至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
背景情况:
- 人口老龄化导致勃起功能障碍,压力尿失禁和膀过活的患病率增加.
- 预计轻度和重度神经认知障碍 (轻度认知障碍和痴呆症) 的发病率将增加.
- 尿道植入物,如阴茎假体,人造泌尿器 (AUS) 和神经神经调节 (SNM) 是这些疾病的常见治疗方法.
研究的目的:
- 审查认知障碍与泌尿器科植入物使用之间的关联.
- 了解认知衰退对这些设备患者的治疗结果和管理的影响.
主要方法:
- 从1975年到2023年进行的英语文章的PubMed搜索.
- 包括报告任何类型或严重程度的认知障碍及其与阴茎假肢,AUS和/或SNM相关的研究.
- 优先考虑同行评审的手稿,并包括相关摘要.
主要成果:
- 关于认知障碍患者泌尿器官植入物结果的数据有限.
- 发现了人造泌尿关节 (AUS) 失败或滥用与认知障碍之间的关联.
- 在这个人群中,神经神经调节 (SNM) 显示了短期的疗效.
- 如果痴呆症发展,阴茎假肢可以被排气,如果痴呆症发展,AUS可以被禁用.
- 像MAT,快速屏幕和SLUMS这样的认知查测试是有效的.
结论:
- 链接泌尿器科植入物和认知障碍的数据很少.
- 泌尿科医生可以利用认知障碍查工具进行术前咨询和术后监测.
- 需要进一步的研究来确定设备植入的排除标准和最佳认知评估方法.
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