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灵活的囊镜引导植入ProACT:手术技术和长期结果

Dimitri Paillusson¹, Marie-Liesse De Guerry¹, Stéphane De Vergie¹

¹Department of Urology Centre Hospitalier Universitaire de Nantes Nantes France.

|March 6, 2025

概括

使用灵活的囊镜指导进行ProACT可调气球植入,有效治疗激进前列腺切除术 (RP) 后的压力尿失禁 (SUI). 长期结果显示,在可控并发症的情况下,成功率为62%.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
医疗器械医疗器械

背景情况:

压力尿失禁 (SUI) 是激进前列腺切除术 (RP) 后的一个常见并发症.
对于前列腺切除术后SUI的现有治疗方法可能有局限性.
可调节的ProACT气球系统为管理SUI提供了一个潜在的解决方案.

研究的目的:

描述ProACT可调气球系统的植入技术,使用灵活的囊泡镜引导.
报告ProACT植入在男性中SUI后RP的长期疗效和安全结果.

主要方法:

一个单一中心的回顾性研究包括196名男性,他们在2007年至2021年期间接受了ProACT植入物,用于RP后的SUI.
植入物是通过围方法进行的,使用全身或局部区域麻醉.
通过实时光镜和灵活的囊镜指导,确认了准确的定位.

主要成果:

随访时间中位数为63个月. 在最后一次随访时,64%的设备已经安装好.
成功率和改进率分别为62%和17%.
42%的患者出现并发症,主要是设备通气 (28%);术后并发症为5%.

结论:

具有灵活的囊泡镜指导的ProACT可调气球植入是一种有效和安全的长期治疗RP后SUI.
该程序显示了有利的结果和可管理的并发症概况.
进一步的研究可能会探索优化患者选择和管理与设备相关的问题.

关键词:

可以调节的ProACT气球最少侵入性的治疗方法.在前列腺切除术后.压力性尿失禁压力性尿失禁

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