围与阴的方法植入人造泌尿:一个系统的审查和元分析
Mohamed Ramez1,2, Abdelrahman Abdelshafi3, Yasmine Adel Mohammed4
1Mansoura University Urology and Nephrology Center, Mansoura, Egypt.
International urology and nephrology
|June 13, 2025
概括
对于人工泌尿器管 (AUS) 植入的周围和阴囊的方法显示出类似的 incontinence 和并发症率. 周围的方法允许更大的袖口尺寸,而阴的方法提供更短的手术时间.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技巧 手术技巧
- 医疗器械 医疗器械
背景情况:
- 压力尿失禁 (SUI) 显著影响男性的生活质量.
- 人工泌尿关节 (AUS) 植入是中度至重度SUI的标准治疗方法.
- 围和阴的方法是AUS植入的主要手术方法,每一种都有不同的解剖学考虑.
研究的目的:
- 量化比较围与阴囊AUS植入的围与阴囊AUS植入的外术前后结果.
- 为了评估袖口大小,手术时间,失禁率,并发症和设备存活率的差异.
- 在AUS植入中提供个性化外科技术选择的证据.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Cochrane Library) 进行了系统的文献审查.
- 包括研究比较了围和阴囊部AUS植入技术.
- 分析的结果包括袖口尺寸,手术时间,干率,社交节,并发症和AUS移除/修订率.
主要成果:
- 分析了6项涉及595名患者的观察性研究.
- 周围的方法与明显更大的袖口尺寸 (OR=3.63) 有关.
- 阴茎部方法与更短的手术时间 (MD=32.98分钟) 和更少的设备移除有关,与可比的失禁和并发症率有关.
结论:
- 周围和阴囊AUS植入方法都有效地实现了具有相似并发症概况的体.
- 围 (较大的手) 和阴 (较短的手术时间) 方法之间的选择应该是个性化的.
- 患者解剖学,外科医生的专业知识和患者的期望应指导选择AUS植入技术.
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