在前列腺切除术后的尿失禁时使用日用人造泌尿:一项比较试点研究
Konstantinos Kapriniotis1, Ioannis Loufopoulos1, Richard Nobrega1
1Department of Urology, University College London Hospital UCLH@ Westmoreland Street London UK.
BJUI compass
|September 26, 2024
概括
日常情况下的人工泌尿关节 (AUS) 植入是可行的和安全的选择性前列腺切除术后失禁 (PPI) 的患者. 结果,包括禁欲和并发症,与传统的过夜相似.
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.
- 患者护理管理 患者护理管理
背景情况:
- 对于前列腺切除术后失禁 (PPI) 的人工泌尿器 (AUS) 植入,传统上需要在医院住院过夜.
- 优化手术途径和患者出院协议对于提高医疗保健效率至关重要.
研究的目的:
- 评估在日常手术环境中进行人工关节 (AUS) 植入的可行性和结果.
- 为了比较当天出院的成功率,并发症率和白天病例和夜间住宿AUS程序之间的结合性结果.
主要方法:
- 一项前性比较试点研究包括了在18个月内接受初级或重复AUS手术的患者.
- 患者接受了日间手术,对照组接受了标准的夜间护理.
- 主要结局是成功在同一天出院;次要结局包括并发症和1年不孕率.
主要成果:
- 在每日病例组的12名患者中,有8名 (66.7%) 在同一天成功出院.
- 同一天失败的出院原因包括麻醉恢复,高空后残留物和轻微的尿道损伤.
- 一年后的禁欲率在白天病例组 (所有社会大陆) 和夜间病例组 (除了一个社会大陆以外的所有社会大陆) 之间是可比的.
结论:
- 在人工泌尿器 (AUS) 植入后,白天病例无导管排泄对于选定的患者来说是可行的和安全的.
- 这种方法提供了与标准过夜相比的制结果和并发症率,这表明了改善医疗保健效率的潜力.
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