[在男性中植入人造泌尿关节的长期功能结果]
A Tomilov A1,2, I Veliev E1,2, N Golubtsova E1,2
1Botkin Hospital, Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|May 16, 2025
概括
人工尿道关节 (AUS) 放置有效地治疗前列腺癌治疗后的严重尿失禁,69.4%的患者取得成功,尿失量和尿使用量显著减少.
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.
- 提高生活质量 改善生活质量
背景情况:
- 激进前列腺癌治疗经常导致严重的尿失禁,严重影响患者的生活质量.
- 人工泌尿关节 (AUS) 植入是前列腺切除术后严重失禁的首要治疗方法.
研究的目的:
- 评估人工关节 (AUS) 植入在患有严重尿失禁的患者的长期功能结果.
- 评估AUS在恢复抑郁和改善患者生活质量的有效性.
主要方法:
- 一组62名患有严重压力尿失禁的患者在2004年至2023年期间接受了AUS植入.
- 成功被定义为不使用子或每天最多使用一个安全子;改善被定义为使用不超过两个子或减少尿液流失>50%.
- 膀日记被用来量化整个随访期间的尿损失.
主要成果:
- 随访时间中位数为73.5个月,尿失中位数显著减少,从900毫升降至7毫升 (p<0.05).
- 每天使用的护肤的中位数从7个下降到1个 (p<0.05),其中69.4%的患者符合成功标准.
- 值得注意的是,43.5%的患者实现了完全的节制 (不使用),并且不需要AUS修订.
结论:
- 人工泌尿关节 (AUS) 植入为患有严重压力尿失禁的患者提供了令人满意的长期功能结果.
- 该程序显示出高成功率和尿路控制的显著改善,提高了患者的生活质量.
相关概念视频
01:30Urinary Tract Calculi III: Medical Management
402
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
402
01:25Urinary Tract Calculi VI: Surgical Management
1.0K
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
1.0K