预测HoLEP后尿失禁的因素:压力和紧急尿失禁之间的差异
Fernando Agreda-Castañeda1, Roger Freixa-Sala2, Marco Franco2
1Hospital Universitari Germans Trias I Pujol [Germans Trias I Pujol University Hospital], Barcelona, Spain. fagreda.germanstrias@gencat.cat.
World journal of urology
|May 2, 2024
概括
年龄预测了霍尔激光前列腺除核术 (HoLEP) 后的急迫性和压力性尿失禁 (UI). 前列腺体积和静止尿导管的使用也预测压力UI在HoLEP后的第一个月.
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
- 下尿道的症状 下尿道的症状
背景情况:
- 在HoLEP后的尿失禁 (UI) 分析中,传统上强调压力UI.
- 本研究调查了与HoLEP后的第一个月内与压力和紧迫性UI相关的因素.
研究的目的:
- 确定HoLEP后早期紧急UI和压力UI的预测因素.
- 为了区分每个UI类型的贡献变量.
主要方法:
- 对235名患者的分析,这些患者接受了由一位外科医生进行的HoLEP.
- 一个月后分类为大陆,纯紧急UI和压力/混合UI组.
- 术前,术后,泌尿动力学和临床变量的比较.
主要成果:
- 在HoLEP后一个月:大陆66.5%,紧急UI20.8%,压力UI12.7%.
- 与年龄相关的紧急UI,手术前紧急UI,糖尿病和高血压.
- 压力UI与年龄,前列腺体积,PSA,核化时间,切除重量,IDC和糖尿病有关.
结论:
- 年龄是HoLEP后UI紧迫性和压力的一个重要预测因素.
- 前列腺体积和静止尿导管的存在预测了第一个月的压力UI.
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