脆弱的尿道:接下来要做什么?-一个叙事回顾
Aroh Pandit1, Chrystal Chang1, Jay Simhan1
1Department of Urology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Translational andrology and urology
|September 16, 2024
概括
管理男性压力尿失禁 (SUI) 与脆弱的尿道需要专业的技术超出标准的人工关节 (AUS) 植入. 患者选择和手术策略是改善抑郁结果的关键.
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:
- 人工泌尿 (AUS) 是男性压力尿失禁 (SUI) 的常见治疗方法.
- 复发性SUI,器件问题和组织损伤是风险,尤其是脆弱的尿道.
- 脆弱的尿道组织会损害袖口的合和禁欲,增加不良事件的风险.
研究的目的:
- 审查与AUS植入后不良结果的风险较高相关的患者特征.
- 定义优化在患有脆弱尿道的患者成功的策略.
- 在患有尿道组织受损的患者中审查男性SUI的手术选择.
主要方法:
- 使用PubMed.com进行了全面的文献审查.
- 搜索术语包括人造泌尿器,失败,反抗性,尿道缩,脆弱的尿道,修订,辐射,囊切除术,失禁和尿道造形术.
- 分析了1975年至2022年间发表的文章.
主要成果:
- 脆弱的尿道的管理选项包括袖口搬迁/缩小,双重袖口,跨体放置,气球交换,球泡性保存,囊切除,移植包裹或转移.
- 每个策略都有特定的优点和缺点.
- 适当的患者选择对于优化结果至关重要.
结论:
- 在脆弱的尿道中存在多种技术来治疗固的SUI,但高质量的证据有限.
- 最佳的结果取决于仔细的患者选择和外科医生的经验.
- 需要进一步的多机构研究来完善患者选择和咨询,以便共享决策.
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