抑郁和焦虑与阴茎假肢手术后的并发症增加有关:一项回顾性队列研究
Mark Xu1, Connor Policastro2, Dylan Wolff2
1Department of Urology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA. mcxu@wakehealth.edu.
International journal of impotence research
|August 7, 2025
概括
抑郁症和焦虑症等心理健康状况显著增加了充气阴茎假体 (IPP) 手术中的并发症风险和感染率. 手术前的心理健康评估和治疗可以改善手术结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 精神病学是一个精神病学.
- 外科手术的结果
背景情况:
- 抑郁和焦虑经常与勃起功能障碍并存.
- 心理健康状况与手术结果较差有关.
研究的目的:
- 调查抑郁和焦虑对充气阴茎假肢手术 (IPP) 后并发症率的影响.
- 确定先前存在的心理健康问题是否独立预测IPP患者的不良结果.
主要方法:
- 一个外科医生 (2020-2022) 进行的279例IPP病例的回顾性审查.
- 数据收集包括人口统计,病史/精神病史和手术结果.
- 统计分析:单变量,多变量逻辑回归和生存分析.
主要成果:
- 抑郁和焦虑与术后并发症 (p=0.002) 和手术部位感染 (p=0.024) 的增加有显著联系.
- 这些心理健康因素在多变量分析中仍然是并发症的独立预测因素.
- 生存分析表明,焦虑或抑郁症患者的并发症和重新手术的时间更快.
结论:
- 心理健康状况,特别是抑郁和焦虑,是IPP手术后并发症的独立风险因素.
- 泌尿科医生应将心理健康评估纳入IPP手术前评估中.
- 在手术前解决心理健康问题可能对优化手术结果至关重要.
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