人工尿道管植入男性:一项基于国家医疗保健数据系统的研究,以评估法国的再干预
Louis Lenfant1, Yoann Taillé2, Emmanuel Chartier-Kastler1
1Sorbonne Université, Service d'urologie, Hôpital Universitaire Pitié-Salpêtrière, AP-HP, Paris, France.
The Journal of urology
|October 14, 2024
概括
人工泌尿器管 (AUS) 植入物的长期结果显示,在10年后,没有重新干预的生存率为40%. 对于男性压力尿失禁 (SUI) 管理,在两年内重新干预的概率达到29%.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 外科手术的结果
背景情况:
- 美国医疗系统 (AMS) 800个人工泌尿器管 (AUS) 植入物的长期结果仍然令人担忧.
- 男性压力尿失禁 (SUI) 管理通常涉及AUS植入.
研究的目的:
- 评估第一次人工尿道关节 (AUS) 植入后的长期重新干预 (更换或移除) 率.
- 为了评估AUS设备的耐用性,在接受SUI治疗的男性中进行前列腺癌后手术或良性前列腺增生 (BPH) 手术.
主要方法:
- 法国基于人口的回顾性队列研究 (2006-2018).
- 包括8475名年龄≥18岁的男性,他们首次接受了针对SUI的AUS植入.
- 卡普兰-梅尔方法用于没有再干预的生存率;多变量考克斯模型用于因子分析.
主要成果:
- 随访时间中位数为6年,71%的无再干预生存率在2年,57%在5年和40%在10年.
- 在2年内,重新干预的概率为29%.
- 在BPH手术后,联合放射治疗/前列腺切除术后,以及在体积较小的中心观察到较低的生存率.
结论:
- 对于AUS植入物,10年无重新干预的生存率为40%.
- 2年内再次干预的概率为29%.
- 调查结果为男性SUI管理的治疗决策提供了信息.
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