相关实验视频
Updated: Jun 28, 2025
03:26
Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
2.0K
阻断器低活性和复杂的压力尿失禁:一个交叉数据研究
Emanuele Rubilotta1, Francesco Ditonno1, Marilena Gubbiotti2
1Department of Urology, A.O.U.I. Verona University, Verona, Italy.
Central European journal of urology
|April 22, 2024
概括
排尿器低活性 (DUA) 对压力性尿失禁 (SUI) 中间尿道吊带 (MUS) 手术后的结果具有微不足道的影响. 患有复杂SUI和DUA的妇女仍然可以从MUS手术中受益.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性的盆腔医学
- 重建性手术是一种重建性手术.
背景情况:
- 排尿器低活性 (DUA) 是一种影响膀功能的疾病,其对压力尿失禁 (SUI) 手术结果的影响尚不清楚.
- 关于复杂应激性尿失禁 (C-SUI) 中DUA的证据特别有限.
研究的目的:
- 评估中部尿道吊带 (MUS) 放置在SUI妇女的结果.
- 评估DUA对无并发性SUI (U-SUI) 和C-SUI的影响,考虑功能和手术结果.
主要方法:
- 一项涉及接受MUS手术的患者的研究,根据SUI类型 (U-SUI与C-SUI) 和DUA存在分为四组.
- 基于既定临床标准的DUA诊断.
- 功能性结局的术后评估,包括盆腔器官尿 (POUR) 率,de novo过度活性膀 (OAB) 综合征和SUI复发.
主要成果:
- 在完成2年随访的97名女性中,54.6%有DUA.
- 术后国际商失禁问卷-下尿道症状 (ICIQ-FLUTS) 评分在没有DUA的女性中得到了更大的改善.
- 在没有DUA的组中,术后Qmax显着更高.
- 在C-SUI和U-SUI中,DUA和无DUA组之间没有显著差异的POUR率,de novoOAB,磁带切割率和SUI复发率.
结论:
- 手术前的DUA对MUS手术的结果的影响很小,即使是在C-SUI的情况下.
- 患有SUI的妇女,包括那些有复杂病例和DUA的妇女,不应该被排除在考虑MUS手术之外.
更多相关视频
相关概念视频
01:26The Micturition Reflex
584
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...
584
01:23Urinary Bladder
655
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...
655
01:20Disorders of the Urinary System
298
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
298