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多中心分析尿路关术后人工尿路关手术的长期结果

Meghan F Davis^1,2, Dmitriy Nikolavsky³, Andre G Cavalcanti⁴

¹MedStar Health, Washington, District of Columbia.

The Journal of urology

|September 29, 2025

概括

人工泌尿器管 (AUS) 的并发症在切割尿道造形术后明显高于非切割技术. 如果预计将来会插入AUS,可能会选择非穿透性尿路整形术.

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
医疗器械并发症医疗器械并发症

背景情况:

人工泌尿 (AUS) 是男性压力尿失禁的主要治疗方法.
关于尿路整形术后AUS结局的证据有限且相互矛盾.
不同的尿路整形技术对后续AUS结果的影响需要澄清.

研究的目的:

为了评估在尿路整形术后与人工尿道关节 (AUS) 插入相关的并发症.
为了比较切割和非切割尿路整形技术之间的并发症率.
为了确定影响AUS并发症后尿路整形术的因素.

主要方法:

对178名经过尿路整形手术后接受AUS的患者进行了回顾性多机构审查.
尿路整形术的分类是截切或非截切.
分析长期并发症,包括感染,侵蚀和机械故障.

主要成果:

需要扩张的人工尿 (AUS) 并发症发生在56.2%的患者中,经过切割尿道造形术后,而在非切割尿道造形术后为23.5% (P < .001).
切断尿路整形显著增加了由于侵蚀和缩而导致装置爆炸的风险.
辐射,高血压和老年患者年龄 (>68) 等因素也与设备爆炸风险相关.

结论:

经过切除尿路造形术的患者面临人工泌尿关 (AUS) 并发症的风险更高.
在预计未来的AUS植入时,非穿透性尿路整形可能是首选的手术方法.
这一发现有助于为尿道狭窄的患者做出手术决策.

关键词:

人工泌尿关节的人工关节压力性尿失禁压力性尿失禁泌尿道缩器是什么意思尿道狭窄尿道狭窄

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