在勃起功能障碍患者中,可形阴茎假体的有效性和安全性与可充气阴茎假体相比
Handaru Satwikananda1, Tetuka Bagus Laksita2, Wahjoe Djatisoesanto3
1Department of Urology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General-Academic Hospital, Surabaya, East Java. handaru.satwikananda@gmail.com.
概括
与可塑性假肢相比,充气阴茎假肢提供了更好的患者和伴侣满意度. 然而,充气设备的机械故障要多得多,尽管使用方便和感染率相似.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械技术 医疗器械技术
- 手术创新 在外科创新.
背景情况:
- 勃起功能障碍显著影响生活质量,需要先进的治疗选择.
- 阴茎假肢植入是对那些对保守治疗不反应的患者的关键解决方案.
- 充气阴茎假肢 (IPP) 提供了比以前的可塑阴茎假肢 (MPP) 更自然的勃起.
研究的目的:
- 进行比较IPP和MPP的元分析.
- 评估患者和合作伙伴的满意度,易用性,机械故障率和感染率.
主要方法:
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在主要的科学数据库 (PubMed,Scopus,ScienceDirect,Semantic Scholar) 进行系统的文献搜索.
- 包括五项符合条件的研究进行综合分析.
主要成果:
- 与IPPs报告的患者和伴侣满意度明显更高 (OR 3.39,p=0.0008;OR 2.32,p<0.00001).与IPPs报告的患者和伴侣满意度明显更高 (OR 3.39,p=0.0008;OR 2.32,p<0.00001).
- 充气阴茎假肢显示了机械故障的发生率显著更高 (OR 5.60,p=0.0009).
- 在IPP和MPP之间,在易于使用或感染率方面没有发现显著差异.
结论:
- 充气阴茎假肢提供了卓越的患者和伴侣满意度.
- 对IPP的满意度增加被更高的机械并发症率所抵消.
- 进一步的研究可能将重点放在缓解充气阴茎假肢设计中的机械故障上.
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