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泌尿科医生自我报告的前列腺切除术后失禁率和治疗推模式
Annie Chen1, Laura Oscar-Thompson2, Kuemin Hwang2
1Houston Methodist Hospital, Houston, Texas.
Urology practice
|July 25, 2025
概括
激进前列腺切除术的外科医生经常低估前列腺切除术后失禁 (PPI) 率,并不充分治疗患者. 大多数外科医生不进行抗失禁手术,导致患者管理和转诊模式不理想.
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
- 患者管理 患者管理
背景情况:
- 在急性前列腺切除术 (RP) 后的前列腺失禁率 (PPI) 有显著差异.
- 目前的PPI管理策略受外科医生的感知影响,对其自我感知PPI率的数据有限.
研究的目的:
- 调查激进前列腺切除术 (RP) 外科医生对前列腺切除术后失禁 (PPI) 的看法和实践模式.
- 了解外科医生如何看待他们自己的PPI率以及他们管理麻烦PPI的转诊习惯.
主要方法:
- 开发了一个22个问题的调查,以评估RP外科医生的看法,人口统计,实践模式和结果.
- 该调查通过各种道传播,包括社交媒体和校友邮件列表,收集了93个回复.
主要成果:
- 大多数外科医生 (74%) 不会进行抗失禁手术,并将不到6%的患者转诊进行外科评估.
- 大多数 (62%) 至少有50%的麻烦的PPI患者将其转移到盆地物理治疗 (PFPT).
- 较高的PPI感知率与较低的转诊率与其他泌尿科医生和PFPT相关.
结论:
- 与已发表的文献相比,RP外科医生可能通过低估自己的比率来导致PPI治疗不足.
- 大多数RP外科医生不进行PPI手术,并且手术评估和PFPT的转诊率很低.
- 解决治疗不足问题需要外科医生教育,标准化报告,以及改善对专业外科医生和PFPT的访问.
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