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Sebastian Lenart¹, Markus Holub², Georg Gutjahr³

¹Department of Urology and Andrology, St. John of God Hospital Vienna - Krankenhaus der Barmherzigen Brüder Wien, Johannes-von-Gott Platz 1, Vienna, 1020, Austria. sebastian.lenart@gmx.at.

World journal of urology

|June 18, 2024

概括

在机器人辅助激进前列腺切除术 (RARP) 后的长时间导管治疗并没有增加整体收缩. 然而,导管停留时间超过14天可能会增加一些患者的狭窄风险,并在28天后增加 incontinence.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
术后护理术后护理

背景情况:

内置导管有助于前列腺切除术后的愈合.
除了 incontinence,长时间的导管风险还没有得到充分的研究.
解剖管狭窄是一种潜在的并发症.

研究的目的:

在RARP后超过14天的时间内检查导管复发症.
分析包括收缩和失禁在内的后果.
评估功能结果和生活质量.

主要方法:

对3087名RARP患者的前性分析.
180名超过14天导管治疗的患者 (A组) 与88名对照患者 (B组) 的比较.
评估后续手术,并发症和功能结果.

主要成果:

手术的数量没有显著增加 (6%对7%,p=0.95).
在排除风险因子后,A组中较高的静脉狭窄 (3%对0%).
类似的失禁率,但更高>28天导管.

结论:

长时间的RARP导管治疗不是一个独立的狭窄风险因素.
导管停留时间>14天可能会增加选择患者的狭窄风险.
导管 >28天可能与更高的失禁率相关.

关键词:

在RARP后的并发症长时间的导管.在RARP中,RARP是指RARP.

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