尿道灌注 尿道灌注
Nicole Fleischmann1, Bilal Chughtai2, Andre Plair3
1From the White Plains Hospital/Montefiore System, White Plains, NY.
Urogynecology (Philadelphia, Pa.)
|July 25, 2024
概括
尿道灌注剂 (UBAs) 为压力尿失禁 (SUI) 提供了一个治疗选择. 虽然对一些人有效,但患者需要咨询风险和有限的长期数据这些SUI治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性的盆腔医学
背景情况:
- 压力尿失禁 (SUI) 显著影响生活质量.
- 尿道填充剂 (UBAs) 是SUI的最小侵入性治疗选择.
研究的目的:
- 为临床医生提供基于证据的指导,说明如何使用尿道填充剂 (UBA) 来治疗压力尿失禁 (SUI).
主要方法:
- 对从1960年到2022年发表的关于尿道灌注剂的研究进行了全面的文献搜索.
- 数据提取的重点是研究类型,参与者人口统计,填充剂,疗效和并发症.
主要成果:
- 确定了1594篇文章,在限制特定研究类型后,选了395项研究.
- 与其他药物相比,聚烯胺水凝的安全性和耐久性略有改善.
结论:
- 尿道灌注剂适用于可证明的SUI,并可考虑用于初始管理或持续/复发性SUI后.
- 患者需要咨询有关风险,有限的长期疗效,潜在的重复手术和未来的影响.
- 对特定的患者群体来说,优先考虑UBA而不是手术可能是合适的.
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