相关实验视频
Updated: May 9, 2026

04:01
Transurethral Instillation Procedure in Adult Male Mouse
Published on: November 2, 2017
15.6K
在男性急性尿的立即或延迟试验没有导管:一个系统的审查
Veronika S Christensen1, Marius Skow2,3, Signe A Flottorp4,5
1Faculty of Medicine University of Oslo Oslo Norway.
BJUI compass
|August 19, 2024
概括
这一系统性审查发现,无论是立即的还是延迟的,没有导管的试验 (TWOC) 对于患有急性尿路滞留的男性来说都明显优越. 证据质量较低,这表明需要进一步研究以确定最佳的导管切除时间.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 临床医学 临床医学
背景情况:
- 急性尿 (AUR) 是一种常见的需要导管治疗的泌尿病状况.
- 确定导管切除的最佳时间,特别是没有导管的试验 (TWOC),对于患者的康复至关重要.
研究的目的:
- 为了比较患有急性尿的男性在不用导管 (TWOC) 进行的延迟试验后即时自发排尿的成功率.
主要方法:
- 一项系统性审查和对比立即TWOC与延迟TWOC (≤30天) 的研究的元分析,针对AUR的成年男性.
- 在多个数据库 (MEDLINE,Embase,Cochrane等) 进行了搜索. 在2022年11月之前.
- 使用ROB 2.0和ROBINS-I工具评估偏差风险,使用GRADE使用证据确定性.
主要成果:
- 包括61项研究;对两个RCT和两个队列研究的元分析显示了一种轻微的,不显著的趋势,有利于延迟TWOC.
- 立即TWOC (4项研究) 的成功率为47%,延迟TWOC (52项研究) 的成功率为53%,在大多数研究中存在严重的偏差风险.
- 在所有包含的研究中,证据的确定性低至非常低.
结论:
- 存在有限的高质量的证据,可以明确支持立即或延迟的TWOC用于男性急性尿.
- 目前的证据库并不强烈支持一种方法相对于另一种方法,强调需要更强有力的研究.
相关概念视频
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Imaging Studies VI: Voiding Cystourethrography and Cystography
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...

