一个修改的吊带中尿道悬浮 + 皮下道双点固定技术用于男性压力尿失禁:试点研究
Yingxiu Chen1,2,3, Xin Song4, Tingting Lv4
1Department of Urology, The First Affiliated Hospital of Zhejiang Chinese Medicine University, 54 Youdian Road, Hangzhou, 310000, Zhejiang, China.
International urology and nephrology
|October 14, 2023
概括
这项研究表明,治疗男性尿失禁的新手术技术是安全有效的. 大多数患者经历了显著的改善,许多人在手术后不再需要枕头.
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.
- 男人健康 男人健康
背景情况:
- 男性尿失禁 (MUI) 显著影响生活质量.
- 目前对MUI的治疗有局限性.
- 需要一种新的手术方法来有效地解决MUI.
研究的目的:
- 评估修改后的吊带中尿道悬浮加上皮下道双点固定技术用于治疗男性尿失禁的可行性.
- 预先评估这种新技术的短期临床疗效和安全性.
主要方法:
- 使用Pelvimesh盆底修复贴,采用修改后的吊带中尿道悬浮加上皮下道双点固定技术.
- 收集的数据包括与手术相关的指标,每天使用护,失禁分数 (I-QOL,ICI-Q-SF) 和与手术相关的问卷.
- 随访时间从手术后1至12个月不等.
主要成果:
- 七名患者在1-12个月内实现了临床治愈.
- 在手术后1个月,85.7%的患者没有使用护肤,而14.3%的患者每天使用1个护肤.
- 与手术前值 (P<0.05) 相比,失禁生活质量 (I-QOL) 评分和国际失禁控制协会失禁问卷简短形式 (ICI-Q-SF) 评分有显著改善.
- 没有报告严重并发症.
结论:
- 修改后的吊带中尿道悬浮加上皮下道双点固定技术是男性尿失禁的安全,有效和最少侵入的选择.
- 这种手术的并发症率很低.
- 需要进一步的大规模,随机和长期研究来验证这些有希望的短期发现.
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