通过阴茎上方和尿道导管同时进行膀排水:哪个排水更完整,为什么?
Aurash Naser-Tavakolian1, John M Masterson1, Jeremiah Dallmer1
1Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
概括
阴茎上导管排泄的尿液明显比尿道导管在跨性别男性的造术后. 利用两种类型的导管重力最大化膀排水,上导管显示出更高的尿量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 患者的恢复 患者的恢复
背景情况:
- 重建性泌尿科医生通常在术后使用尿道和上导管,以防止尿液扩散.
- 关于这些导管在完整的膀排水方面的比较有效性存在缺乏共识.
- 目前的做法往往涉及封闭一个导管,同时允许另一个引力排水.
研究的目的:
- 在双膀排水过程中,比较上和尿道导管的尿液输出.
- 为了评估术后泌尿病患者的导管类型之间的尿液流出的差异.
- 在重建性泌尿外科手术后,为最佳的导管管理策略提供信息.
主要方法:
- 转变性男性尿液输出 (UOP) 的回顾性评估,这些男性接受了二期的尿道延长法洛整形手术.
- 16个法国尿道和上导管的双重放置,以进行术后的重力排水.
- 每天两次单独记录每个导管中的UOP,使用混合模型回归分析.
主要成果:
- 与尿道导管相比,上导管每12小时的平均输出量比尿道导管高410毫升 (p=0.002).
- 在白天 (464毫升的差异) 和夜间 (356毫升的差异) 观察到,上导管的UOP更高.
- 在门诊阶段,上导管显示出明显更高的UOP (472毫升的差异,p=0.009).
结论:
- 同时的双导管检查表明,与尿道导管相比,上导管 (65%) 与尿道导管 (35%) 具有更大的整体膀排水率.
- 这两种导管都可以在重力下放置,以最大限度地减少膀排水,因为上导管有效地排泄剩余的尿液.
- 这种双排水方法通过确保更完整的膀排空来提高术后管理.
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