在前列腺切除术后的手术治疗失禁症
Natalija Kovacevic1, Priya Padmanabhan1
1William Beaumont University Hospital, Royal Oak, MI, USA.
Prostate international
|July 22, 2024
概括
前列腺切除术后的失禁 (PPI) 管理包括保守的治疗方法和手术选择,如人工尿道关节 (AUS) 或不那么侵入性的. 对重新手术风险和可实现的抑郁症的患者咨询对于管理这种常见并发症至关重要.
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:
- 前列腺切除术后失禁 (PPI) 是激进前列腺切除术后的一个常见且具有影响力的并发症.
- 最初的管理侧重于保守的措施,如盆地底治疗,生物反和药物治疗.
研究的目的:
- 审查目前的前列腺切除术后失禁手术治疗方案.
- 为了比较不同手术干预的疗效和侵入性.
主要方法:
- 综述现有的关于手术治疗男性前列腺切除术后压力尿失禁的现有文献.
- 人工尿道 (AUS) 的分析作为黄金标准,而不是像男性和proACT这样的侵入性较小的选择.
主要成果:
- 人工泌尿 (AUS) 是黄金标准,但其重复手术率很高,需要灵巧.
- 男性和proACT为轻度至中度的尿失禁提供了较少侵入性的替代方案,特别是在非辐射患者中.
- 不建议在男性SUI中进行灌注疗法.
结论:
- 对PPI的手术治疗选择取决于失禁的严重程度,先前的辐射和患者因素.
- 对所有外科手术方法来说,对重新手术风险和现实的抑郁结果进行知情的患者咨询是必不可少的.
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