在前列腺切除术后的压力尿失禁 (FORESEE) 固定吊带植入后失败的术前危险因素:系统性审查和元分析

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Emilio Sacco¹, Marco Campetella¹, Filippo Marino²

¹Department of Urology, Ospedale Isola Tiberina - Gemelli Isola, Università Cattolica del Sacro Cuore, Rome, Italy.

European urology open science

|June 23, 2025

概括

几个因素预测固定男性吊带在尿失禁治疗中的失败. 盆腔辐射,高枕使用和尿失是关键指标,有助于患者选择更好的结果.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
医疗工程医疗工程
基于证据的医学基于证据的医学.

背景情况:

对于前列腺切除术后尿失禁的固定男性的有效性是有争议的.
治疗失败的预测因素需要系统评估.

研究的目的:

系统地评估固定吊带植入失败的手术前预后.
为了确定影响男性吊带手术后抑郁结果的因素.

主要方法:

在多个数据库 (PubMed,科学网,Scopus,Cochrane) 中进行系统的文献搜索.
纳入与>=30名患者的研究,>=6个月的随访,评估预后因素.
使用随机效应模型对调整和未调整的赔率比率进行元分析;进行质量和确定性评估.

主要成果:

包括62个队列 (5696名患者);调查了78个风险因素.
高确定性证据对盆腔辐射,24小时使用子和24小时尿失预测失败.
尿道狭窄,先前的失禁治疗,detrusor过度活动,MSIGS得分和重新定位测试的中等确定性;前列腺切除术后的年龄和时间没有影响.

结论:

确定了几个与固定男性吊带失效相关的手术前风险因素.
这些发现有助于医疗保健专业人员选择患者并为尿失禁治疗提供咨询.
有证据支持根据患者个体特征量身定制治疗选择.

关键词:

男人的子.男人的尿失禁是男性尿失禁.进行元分析分析.进行前列腺切除术.系统性审查系统性审查

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