在前列腺的Holmium激光取核术后延迟的尿留
Maithili Gopalakrishnan1, Anastasija Useva1, Raj Kumar1
1Department of Urology, SUNY Upstate Medical University, Syracuse, NY.
Urology
|June 15, 2025
概括
术内尿道扩张和术后连续膀灌是前列腺霍尔激光除核术 (HoLEP) 后延迟尿的主要危险因素. 避免这些可能会减少并发症和意外访问.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 术后并发症 术后并发症
背景情况:
- 延迟尿 (DUR) 可能发生在前列腺的holmium激光取核 (HoLEP) 后,即使在成功的同日试验空气 (SDTOV) 后.
- 确定可修改的术后风险因素对于改善患者的治疗结果和减少与非计划性干预相关的医疗保健成本至关重要.
研究的目的:
- 在患者接受前列腺荷激光取核 (HoLEP) 后,在成功的同一天空气试验 (SDTOV) 后,确定延迟尿 (DUR) 的可修改的外科手术风险因素.
主要方法:
- 一个前性的,单个外科医生HoLEP数据库对经历SDTOV后DUR的患者进行了分析.
- 排除标准包括最初的50个病例,失败的SDTOV和凝块保留.
- 使用未配对的t试验,奇方分析和多变量逻辑回归来确定显著的风险因素 (P <.05).
主要成果:
- 在接受HoLEP治疗的348名患者中,18名 (5.17%) 患有DUR.
- 在患者人口统计学,并发症或手术前因素方面没有发现显著差异.
- 术内尿道扩张 (25.8%的病例) 和术后连续膀灌 (7.7%的病例) 与DUR显著相关.
结论:
- 术内尿道扩张和术后连续膀灌是HoLEP后非凝块相关DUR的显著预测因素.
- 这些发现表明,在涉及这些手术的病例中,应加强患者咨询和潜在考虑导管排出,以尽量减少发病率和计划外的医疗保健利用.
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