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前列腺切除术后的失禁:指导方针的指导方针
Nikita R Bhatt1, Aswathy Pavithran2, Cristian Ilie1
1Norfolk and Norwich University Hospitals, Norwich, UK.
BJU international
|November 27, 2023
概括
本综述比较了管理前列腺切除术后失禁 (PPI) 的国际指南. 虽然核心原则一致,但研究和治疗的具体建议,如男性或人造泌尿器关节,显示出差异.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 基于证据的医学基于证据的医学.
- 临床指南 临床指南
背景情况:
- 前列腺切除术后失禁 (PPI) 是前列腺癌手术后的一个常见并发症.
- 有效管理PPI需要遵守既定的临床指南.
研究的目的:
- 对目前有关前列腺切除术后失禁 (PPI) 的处理和管理的国际专业指南进行全面审查.
- 识别和比较主要泌尿病学指南中建议的相似之处和差异.
主要方法:
- 系统审查主要专业组织的指导方针,包括EAU (2023年),AUA/SUFU (2019年),ICI (2018年),CUA (2012) 和USI (2018年).
- 对PPI的诊断和治疗建议进行比较分析.
主要成果:
- 指导方针通常一致认为,PPI的病史和体检的重要性.
- 建议的额外调查和治疗值存在差异,用于男性和人造泌尿关节.
- 对并发症或持续性尿失禁 (UI) 的具体管理策略在指导方针之间存在一些分歧.
结论:
- 这次审查是首次整合十年来PPI指南,突出了共识和差异.
- 在指南中细微的差异为管理PPI的临床医生带来了挑战.
- 指南的整合旨在为从业人员提供全面的概述,以改善PPI诊断和管理.
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