对于神经性尿失禁的人造尿:一个叙述性回顾
Bridget L Findlay1, Daniel S Elliott1
1Department of Urology, Mayo Clinic, Rochester, MN, USA.
Translational andrology and urology
|September 16, 2024
概括
对于神经性膀失禁的人工尿道 (AUS) 植入有希望,功能性失禁率在75-90%之间. 然而,更高的修复率需要仔细考虑膀部袖口的位置和手术技术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经科学是一个神经科学.
- 生物医学工程 生物医学工程
背景情况:
- 人工泌尿 (AUS) 主要用于前列腺切除术后的尿失禁.
- 神经性膀内在缩器缺陷 (ISD) 是AUS的一个不太常见的征兆.
- 神经性失禁涉及尿道阻力和膀功能之间的复杂相互作用.
研究的目的:
- 审查在神经性膀患者中AUS植入的技术考虑.
- 为了评估AUS在这个人群中的疗效,持久性和并发症率.
- 讨论神经性尿失禁管理的外科细微差别和结果.
主要方法:
- 进行了非系统的文献综述.
- 在PubMed数据库中搜索相关文章.
- 确定了专注于人工泌尿关节用于神经性失禁的研究.
主要成果:
- 靠近膀的部袖口位置是最好的,以尽量减少侵蚀和导管复杂症.
- 机器人辅助腹腔镜安置为部分患者提供了安全的替代方案.
- 功能性失禁率在75-90%之间,但神经性患者的修订率更高.
结论:
- AUS为神经性失禁提供了有前途的功能性失禁,特别是在膀部放置时.
- 高的修订率凸显了手术的复杂性和对专门手术方法的需求.
- 为了制定最佳的治疗策略,还需要更多高质量的比较数据.
相关概念视频
01:26The Micturition Reflex
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Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
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01:23Urinary Bladder
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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
479