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靠近性缺血症中的球性肌肉重建:青春期后的功能和患者满意度
Supul Hennayake1, Mahmoud Marei Marei2, Amila De Silva1
1Paediatric Urology Department, Royal Manchester Children's Hospital, Oxford Road, Manchester, M13 9WL, United Kingdom.
在近接性缺症的修复中,球肌 (BSM) 的重建导致青少年的尿和射精功能得到了满意. 患者报告了强烈的尿流和射精射精,表明成功的功能结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 安德罗学与人类学
背景情况:
- 在青春期近亲性下修复后,射精障碍很常见.
- 球肌 (BSM) 对于正常的射精和勃起至关重要.
- 在近端下症中,在BSM重建后评估青少年的结果很重要.
研究的目的:
- 为了评估青少年的功能和美学结果,随着近端的hypospadias修复与bulbospongiosus肌肉重建.
- 确定BSM修复对尿流,射精和患者报告的满意度的影响.
主要方法:
- 确定的近端低度和严重的腹部曲 (>30°).
- 在2个阶段的手术中,在圆柱尿道周围进行了圆柱状肌肉的应用.
- 每年进行青春期后的评估,包括低度目标评分评估 (HOSE) 和患者报告的阴茎知觉评分 (PPS),排尿和射精描述.
主要成果:
- 22名患者完成了青春期评估,平均随访年龄为17.2年.
- 95.4%的人报告说有强烈的尿流,94.4%的人描述射精.
- 中位数的HOSE得分为14p,PPS为16p,表明了良好的功能和美学结果.
结论:
- 在近端下症的修复中,球肌的重建导致青少年的尿道和射精功能得到了满意.
- 患者对生殖器功能和美学表示高度满意,不论生殖器的位置如何.
- 这项研究支持BSM重建作为一个关键因素,以实现近端低血压症的积极结果.
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