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男子吊带的可调性:它真的很重要吗?
Rafael R Zanotti1, Fernando Lustosa2, Andre C Matos3
1School of Medical Sciences, Department of Urology, Santa Casa de São Paulo, São Paulo, Brazil. rafael_r_z@hotmail.com.
可调节的男性带 (MS) 为前列腺切除术后失禁 (PPI) 提供了更好的结果. 设备的调整是关键的,特别是在先前接受放射治疗或尿道狭窄的患者中,提高了PPI管理的成功率.
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.
- 男人失禁管理的管理
背景情况:
- 前列腺切除术后的失禁 (PPI) 呈现出各种各样的患者需求.
- 男性 (MS) 中的设备重新调节性可能有利于PPI管理,但缺乏可靠的研究.
- 这项研究研究了手术技术,结果和MS再调整能力的影响.
研究的目的:
- 描述用于用于前列腺切除术后失禁 (PPI) 的男性吊带 (MS) 植入的手术技术.
- 评估MS植入的临床结果.
- 评估设备重新调节性对PPI治疗成功的影响.
主要方法:
- 89名连续接受PPI纠正的MS Argus-TTM患者的回顾性分析.
- 平均随访时间为48个月.
- 收集了围绕外科手术变量,临床和泌尿动力学参数的数据,与再调整需求和成功相关联.
主要成果:
- 客观成功率达到80.5% (65.9%治愈,14.6%改善);主观成功率达到85.4% (74.4%治愈,11%改善).
- 以前接受过尿道狭窄 (US) 治疗的患者:客观成功率为79%,主观成功率为84.2%.
- 以前接受过放射治疗 (RT) 的患者:68.7%的客观成功率,75%的主观成功率.
- 27.7%的人需要重新调整;RT和先前的美国治疗是重新调整的预测因素 (OR:8.46,OR:6.41).
结论:
- 男性带 (MS) 的调节性提高了成功率,特别是在先前接受放射治疗 (RT) 或尿道收缩 (US) 的患者中.
- 调整对于优化PPI案件的结果至关重要.
- 放射治疗仍然是完全禁欲的不利预测因素,即使是在重新调整后.
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