在前列腺切除术后的全新的在线综合骨盆底治疗计划
David E Rapp1, Dylan Hutchison1, Marieke K Jones2
1Department of Urology, University of Virginia Health System, Charlottesville, VA, USA.
Translational andrology and urology
|January 10, 2024
概括
在线进行的盆地肌肉训练 (PFMT) 显著改善了前列腺切除术后的失禁 (PPI) 和生活质量. 这项可访问的计划为前列腺手术后面临尿失禁的男性提供了有价值的解决方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 数字健康数字健康
- 康复 康复 康复 康复
背景情况:
- 前列腺切除术后的失禁 (PPI) 影响了许多男性,他们无法获得传统的骨盆底肌肉训练 (PFMT).
- 正式PFMT的障碍包括治疗师的可用性和后勤挑战.
- 为了克服这些访问问题,开发了一个在线PFMT和盆地教育 (oPFMT/PFE) 计划.
研究的目的:
- 评估一个新的在线PFMT/PFE程序的可行性,患者满意度和抑郁结果.
- 评估oPFMT/PFE在改善尿失禁和前列腺切除术后生活质量的有效性.
主要方法:
- 对21名接受机器人辅助腹腔镜前列腺切除术 (RALP) 的男性进行前性临时分析,他们参加了为期12个月的oPFMT/PFE计划.
- 测量结果包括国际商失禁问卷男性下尿道症状 (ICIQ-MLUTS) 和失禁影响问卷 (IIQ-7) 在RALP后3周,3个月,6个月和12个月的得分.
- 分析的重点是压力尿失禁 (SUI) 域得分和SUI治愈率在6个月后续.
主要成果:
- 在6个月后,与手术后3周相比,SUI域得分显著改善 (P=0.011).
- 患者报告的改善平均为7.42/10,89%的满意度和100%的易用性.
- 从手术后3周开始,IIQ-7得分显著改善,表明生活质量有所改善.
结论:
- 新的在线PFMT/PFE计划在经过验证的尿失禁和生活质量指标中显示出显著的改善.
- oPFMT/PFE为患有前列腺切除术后失禁的男性提供了一种有价值,易于获得和令人满意的治疗选择.
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