评估性功能变化在接受内镜手术的患者上泌尿道质症的评估
J Tabares Jiménez1, G Bueno Serrano1, M P Alcoba García1
1Servicio de Urología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Actas urologicas espanolas
|September 23, 2024
概括
对上尿路结石的内镜手术是安全的,不会对男性或女性的性功能产生负面影响. 研究表明,在进行尿路透镜等手术后,性功能得分没有显著变化.
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
- 最少侵入性的手术
背景情况:
- 上泌尿道 (UUT) 化是一种常见的疾病,需要手术干预.
- 内镜外科手术技术越来越多地用于UUT石头管理.
- 这些手术对患者生活质量,特别是性功能的影响需要进行彻底评估.
研究的目的:
- 评估内镜外科手术程序对UUT化病患者的性功能的影响.
- 为了确定尿路透镜 (URS),逆行性内外科手术 (RIRS) 或内镜组合性内外科手术 (ECIRS) 是否会影响男性和女性的性健康.
主要方法:
- 进行了一项观察性,前性,纵向研究.
- 70名患者 (34名男性,36名女性) 接受了URS,RIRS或ECIRS治疗.
- 性功能在基线,1个月和手术后3个月使用男性的国际勃起功能指数 (IIEF-t) 和女性的女性性功能指数 (FSFI) 进行评估.
主要成果:
- 在手术后3个月的男性中,整体IIEF-t评分没有显著变化 (p=0.054).
- 男性的性欲 (IIEF-SD) 在3个月后有所改善.
- 通过FSFI-t评估的女性性功能保持稳定,在任何子域中没有显著的术后变化.
结论:
- 对于UUT质症的内镜手术是一种安全的程序,对男性和女性患者的性功能没有任何不良影响.
- 干预后3个月的性功能评分 (IIEF-t和FSFI-t) 与基线值相比没有显著差异.
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