[膀壁新泌尿管技术改善了腹腔镜激进前列腺切除术后的早期尿失禁]
Zhi-Bin Xu1, Mao-Mao Guo1, Hao Bian1
1Department of Urology, Taizhou People's Hospital, Taizhou, Jiangsu 225300, China.
Zhonghua nan ke xue = National journal of andrology
|October 15, 2023
概括
膀壁新尿路 (BWN) 技术在腹腔镜激进前列腺切除术 (LRP) 后显著改善了早期的尿. 这种方法还可以提高功能性尿道的长度和面积,从而为患者带来更好的结果.
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.
- 前列腺切除术后恢复 后前列腺切除术
背景情况:
- 腹腔镜激进前列腺切除术 (LRP) 是前列腺癌的常见治疗方法.
- 尿失禁是LRP之后的一个重大问题.
- 需要新的外科手术技术来改善术后的结果.
研究的目的:
- 评估膀壁新尿路 (BWN) 技术在改善LRP后早期尿的疗效.
- 评估BWN对尿道功能和新尿道完整性的影响.
主要方法:
- 对40名LRP患者的前性研究,随机分为BWN (n=20) 和对照组 (n=20).
- 在尿管摘除后的7,30,90和180天评估尿率.
- 测量了尿道压力,长度和面积;通过MRI评估了新尿道的闭合.
主要成果:
- 在7,30和90天的BWN组内率显著更高 (P < 0.001,P < 0.001,P < 0.05).
- BWN组显着增加了功能性尿道长度 (FUL) 和面积 (FUA) (P <0.01).
- 在尿液储存期间,MRI证实了BWN组的紧密的新尿道闭合.
结论:
- 在LRP之后,BWN技术在恢复早期尿方面提供了显著的优势.
- BWN对功能性尿道长度和面积产生积极影响,有助于改善 incontinence.
- 这种技术在前列腺切除术后增强康复和生活质量方面表现有前途.
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