在BPH手术后的术后尿失禁:从全面的国家数据库分析的见解
Leslie C Licari1,2, Eugenio Bologna1,2, Celeste Manfredi1,3
1Department of Urology, Rush University, Chicago, IL, USA.
Minerva urology and nephrology
|September 25, 2024
概括
手术后尿失禁 (UI) 影响BPH手术后不到5%的患者. 一些手术显示出更高的UI风险,而其他手术,如前列腺动脉栓塞,则显示出更低的风险率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 男人的健康 男人的健康
背景情况:
- 手术后尿失禁 (UI) 是良性前列腺增生 (BPH) 手术治疗后的一个重大问题.
- 了解UI在各种BPH手术过程中的发生率对于患者咨询和治疗选择至关重要.
研究的目的:
- 调查和比较持续的术后UI的发病率在BPH的一系列手术过程中.
- 确定特定的BPH手术技术与较高或较低的UI发展风险相关.
主要方法:
- 一个大型国家数据库 (2011-2022) 的回顾性分析,包括超过274,000名患者.
- 在进行过尿道切除前列腺 (TURP),霍尔/图激光切除前列腺 (HoLEP/ThuLEP),前列腺光选择性蒸发 (PVP),前列腺尿道升降 (PUL),机器人喷水治疗 (RWT),水蒸气热疗法 (WVTT),前列腺动脉栓塞 (PAE) 等后,评估UI率 (冲动,压力,混合).
- 多变量回归分析以确定持续UI的预测因素在手术后12个月.
主要成果:
- 整体持续性UI率为4.01% (11,017名患者).
- 与TURP相比,HoLEP/ThuLEP,PVP,开放式简单前列腺切除术 (OSP) 和微创简单前列腺切除术 (Lap/Rob SP) 的UI可能性更高.
- 与前列腺尿道升降 (PUL),WVTT,RWT和前列腺动脉栓塞 (PAE) 观察到较低的UI概率.
结论:
- 持续性UI是BPH手术后不常见的并发症 (<5%),但存在程序变化.
- 某些BPH手术程序与显著不同的UI发展风险有关.
- 调查结果强调了仔细选择患者和全面咨询对于选择BPH治疗相关的潜在UI风险的重要性.
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