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靠近性尿道造术与复杂的尿道收紧症的尿道整形术
Nir J Rahav1, Mohamad Udah2, Sarit Cohen2
1Center for Reconstructive and Functional Urology, Shaare Zedek Medical Center, Jerusalem, Israel.
European urology open science
|March 15, 2024
概括
靠近性尿道修复和尿道整形显示了复杂的尿道狭窄 (CUS) 的类似结果. 这两种治疗方法在复发率和患者报告的生活质量方面都提供了可比的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 重建性手术是一种重建性手术.
背景情况:
- 复杂尿道狭窄 (CUS) 的最佳治疗方法仍未确定.
- 对于使用验证结果的CUS治疗方法,存在有限的比较数据.
研究的目的:
- 为了比较近端尿路修复和尿路整形用于CUS.
- 通过客观措施和验证的问卷来评估结果.
- 分析患者子组的趋势.
主要方法:
- 在2004年至2021年期间,对患有CUS的患者进行了回顾性分析.
- 靠近性尿路整形 (n=57) 和尿路整形 (n=75) 的比较.
- 主要结局:收缩复发;次要结局:尿液流量计,空白后残留,验证的问卷.
主要成果:
- 收缩复发没有显著差异 (22.6%与36.2%,p=0.106).
- 尿,生活,满意度和勃起功能的类似的术后质量.
- 两组都显示出尿流改善;空虚后残留量没有显著差异.
结论:
- 靠近性尿路修复术 (proximal urethrostomy) 是治疗CUS的尿路整形术的一种相当的替代方案.
- 没有观察到复发或患者报告结果的显著差异.
- 靠近性尿道修复应被认为是复杂的尿道狭窄的可行治疗选择.
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