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内置尿管支架对性功能的影响:现实世界观察性研究
Runze Liu1, Zijin Wan1, Yong Zhang2
1Department of Urology, Beijing Tiantan Hospital, Capital Medical University, No.119 South 4th Ring West Road, Fengtai District, Beijing, 10050, China.
International urology and nephrology
|August 31, 2024
概括
尿道DJ支架暂时影响男性和女性的性功能. 性功能的恢复是在支架移除后四周内观察到的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
背景情况:
- 尿道双J (DJ) 支架经常用于泌尿器科手术.
- 支架安置与下泌尿道症状 (LUTS) 和生活质量下降有关.
- 尿道支架对患者性功能的直接影响需要彻底调查.
研究的目的:
- 调查尿管DJ支架内置与经过尿管镜检查的患者的性功能之间的直接关系.
- 评估尿道支架对男性和女性性健康的短期和中期影响.
主要方法:
- 在2022年10月至2023年12月期间,一组172名性活跃患者 (82名男性,90名女性) 接受尿路透镜检查.
- 性功能的评估是使用国际勃起功能指数-5 (IIEF-5) 对男性和女性的女性性功能指数 (FSFI).
- 数据是在基线 (手术前),切除支架当天和切除后四周收集的.
主要成果:
- 在支架前放置,平均IIEF-5得分为22.86±0.91,平均FSFI得分为31.66±1.44.
- 在切除支架的那一天,观察到显著的减少:IIEF-5降至16.37 ± 2.62 (p < 0.01) 和FSFI降至15.83 ± 4.05 (p < 0.01).
- 在切除支架四周后,性功能得分恢复到基线水平 (IIEF-5:22.77 ± 1.06,p = 0.61;FSFI:30.99 ± 1.79,p = 0.78).
结论:
- 在尿路透镜检查后安装尿路支架可以暂时损害男性和女性患者的性功能.
- 性功能通常会在尿管DJ支架摘除后四周内恢复到支架前的水平.
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