一个充满的膀是不需要男性的压力失禁分级尺度
D M Lopategui1, T Demus2, C Mallory3
1Desai Sethi Urology Institute at the University of Miami Miller School of Medicine, Miami, Florida.
Urology practice
|February 2, 2024
概括
男性压力失禁分级表,使用站立咳测试,可靠地评估男性压力尿失禁治疗的严重程度. 这种方法即使在几乎空的膀中也是有效的,有助于成功分层的人工泌尿或吊带手术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 患者评估 患者评估
背景情况:
- 男性的压力尿失禁 (SUI) 显著影响生活质量.
- 对SUI严重程度的准确分层对于选择适当的手术干预措施至关重要,例如人工尿道关 (AUS) 或尿道.
- 当前的评估方法可能具有可靠性的局限性.
研究的目的:
- 评估男性压力失禁分级表 (MSIGS) 使用站立咳测试对男性SUI患者进行分层.
- 确定MSIGS在指导AUS和吊带程序之间的治疗选择中的有效性.
- 调查评估时几乎空的膀是否会增加治疗失败的风险.
主要方法:
- 对男性患者进行了回顾性图表审查,这些患者接受了吊带或AUS安置.
- 在初始评估期间,MSIGS站立咳测试成绩和膀扫描结果的文档.
- 对治疗结果的分析,包括 incontinence 的解决和复发.
主要成果:
- 对于杆 (90%) 和AUS (93%) 的安置均观察到高成功率.
- 站着咳测试得分在成功和失败的吊带治疗之间是可比的.
- 膀扫描体积与治疗失败无关,这表明即使在几乎空的膀中,测试的可靠性也是如此.
结论:
- 站着咳测试是一种可靠的,非侵入性的工具,用于评估男性SUI的严重程度.
- MSIGS有效地对AUS患者进行分层治疗,并实现高成功率.
- 咳测试的可靠性即使在膀几乎空的时候也保持不变.
相关概念视频
01:23Urinary Bladder
714
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
714
01:26The Micturition Reflex
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Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
635