在前列腺癌治疗后利用失禁程序:人口层面的分析
Ryan Davis1, David Ginsberg1, Jeffrey C Loh-Doyle1
1Department of Urology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Neurourology and urodynamics
|August 5, 2025
概括
人工尿道 (AUS) 和尿道用于前列腺癌治疗后的失禁. 使用情况因患者因素而异,突出显示了对指导方针意识的必要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗器械的利用 医疗器械的利用
背景情况:
- 在前列腺癌治疗后,尿失禁很常见,例如激进前列腺切除术 (RP) 和放射治疗 (RT).
- 人工尿道关节 (AUS) 和尿道可以治疗压力失禁,但它们在治疗后的使用尚未明确定义.
研究的目的:
- 评估在接受RP和/或RT治疗的患者中AUS和尿道链手术的利用率.
- 为了确定与使用这些失禁程序相关的患者因素.
主要方法:
- 在2005-2015年间使用TrinetX数据库对18岁以上接受RP或RT治疗的男性进行了回顾性分析.
- 排除在前前列腺癌治疗之前有AUS或吊链植入的患者.
- 主要结局:治疗后6个月至10年的AUS和吊带利用率;次要结局:囊囊甲透镜率和相关的患者因素.
主要成果:
- 观察到的使用率较低:RP后 (AUS 1.82%,摇摆1.75%),RT后 (AUS 0.35%,摇摆0.05%). 在使用率较低的情况下,使用率较低.
- 在接受RP和RT治疗的患者中,利用率更高 (AUS3.70%,sling1.10%).
- 与更高利用率相关的因素包括RP,学术中心护理和45-69岁. 种族/种族也影响了利用.
结论:
- 在前列腺癌治疗 (RP/RT) 后,用于治疗失禁的AUS和尿道的利用率很低.
- 基于患者的特征,程序使用存在显著差异.
- 强调需要更好地了解已建立的指导方针,以管理前列腺切除术后的失禁.
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