[男性泌尿应激失禁:诊断工作和现代手术治疗]
Markus Grabbert1, Ricarda M Bauer2
1Klinik für Urologie, Department Chirurgie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hugstetter Str. 55, 79106, Freiburg im Breisgau, Deutschland. markus.grabbert@uniklinik-freiburg.de.
Urologie (Heidelberg, Germany)
|May 30, 2024
概括
激进的前列腺切除可以导致男性尿路压力失禁. 虽然人造泌尿器关节是标准的,但可调和固定的带提供了现代替代方案,成功率和并发症率各不相同.
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.
背景情况:
- 激进的前列腺切除术经常导致男性尿路压力失禁.
- 确切的原因是多因素的,并未完全理解.
- 术前评估对于成功的手术结果至关重要.
研究的目的:
- 审查目前的前列腺切除术后泌尿应激失禁的手术治疗选择.
- 为了比较人工泌尿关节和各种吊带系统的有效性和局限性.
主要方法:
- 审查现有的文学关于手术管理的尿应激失禁后激进前列腺切除术后.
- 讨论人工泌尿器,可调节的吊带系统和像AdVance XP这样的固定吊带.
主要成果:
- 人工泌尿关节的成功率很高,但并发症和修复率很高.
- 可调节的带提供尿道阻力,可能适合先前进行放射治疗的患者.
- "AdVance XP"固定吊带旨在纠正尿道超流动性,但长期成功仅限于选定的患者.
结论:
- 在前列腺切除术后的手术治疗失禁包括既有和新兴的技术.
- 人造泌尿器关节仍然是一个标准的,尽管并非没有并发症的选择.
- 吊带系统,包括可调和固定类型,提供可行的替代方案,具有特定的适应症和患者选择,对于最佳结果至关重要.
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