[手术后应激性尿失禁在治疗良性前列腺增生时使用各种激光取核技术后的患者中]
D Dibiraliev C1, T Markosyan G1, V Olefir Yu1
1Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|May 16, 2025
概括
与其他方法相比,图纤维激光前列腺去核的全方位技术显著减少了术后压力尿失禁 (SUI). 这种技术还促进了良性前列腺增生患者尿的早期恢复.
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
- 激光技术 激光技术 激光技术
背景情况:
- 良性前列腺增生 (BPH) 是一种常见的疾病,影响着老年男性.
- 压力尿失禁 (SUI) 是BPH手术治疗后的潜在并发症.
- 硫纤维激光前列腺核化 (ThuFLEP) 是BPH的有效治疗方法.
研究的目的:
- 为了比较经过三种不同的ThuFLEP技术后术后SUI的发生率.
- 评估ThuFLEP后SUI的风险因素和改善率.
- 确定最佳的ThuFLEP技术,以最大限度地减少SUI.
主要方法:
- 对472名接受ThuFLEP治疗的患者进行了回顾性和前性比较分析.
- 三种技术进行了比较:双叶片,en-bloc和全部en-bloc.
- 术前和术后评估SUI发生率和恢复.
主要成果:
- 整体术后SUI发生率为10.4%,在6个月后降至1.3%.
- 根据技术,SUI的发生率有所不同:13.9% (双叶),12.4% (en-bloc) 和5.4% (总 en-bloc).
- 总体封锁技术显示,SUI的统计学显著减少 (p=0.013单变量,p=0.046多变量) 和更早的失禁恢复.
结论:
- 整体封闭式ThuFLEP技术在六个月内显著减少术后的SUI.
- 这种技术对尿失禁的早期恢复有有益影响.
- 手术技术是ThuFLEP后手术后SUI的重要预测因素.
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