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功能性泌尿外科手术趋势分析2013-2024年在英格兰使用HES数据库

Martina Spazzapan^1,2, Rhys Evans³, Shubhangi Mehta^3,4

¹Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London, UK. martina.spazzapan@nhs.net.

World journal of urology

|January 14, 2026

概括

功能性泌尿外科手术的趋势显示,从网状带转向压力尿失禁的填充剂,并继续使用毒素A治疗紧急尿失禁. 通过尿道切除前列腺仍然是BPE的常见病例,激光的使用越来越多.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
外科手术的发展趋势
公共卫生数据分析

背景情况:

功能性泌尿病学涉及诸如 incontinence 和良性前列腺扩大等疾病.
手术干预是这些疾病的关键治疗方法.
了解最近的趋势对于医疗保健规划和患者护理至关重要.

研究的目的:

分析英格兰常见功能性泌尿外科手术的最新趋势.
为了识别治疗方式和程序体积的转变.
评估诸如网状并发症和COVID-19流行病等因素对手术实践的影响.

主要方法:

使用了英格兰的医院情节统计数据库 (HES).
分析了2013年至2024年的程序数据.
专注于治疗女性压力性尿失禁 (SUI),紧急性尿失禁 (UUI),前列腺切除术后的尿失禁 (PPI),阴囊 (VVF) 和良性前列腺扩大 (BPE) 的治疗方法.

主要成果:

自2019年以来,用于SUI的变压器和无张力阴道带的使用急剧下降,取而代之的是膨胀剂.
内毒素A (BTX) 仍然是耐火性UUI的主要治疗方法.
经尿道切除前列腺 (TURP) 仍然是最常见的BPE手术,尽管荷尔激光核化 (HoLEP) 和光选择性蒸发 (PVP) 正在增加.
阴道囊的修复数量仍然很低.
在COVID-19大流行期间,整体外科手术量下降,从2022年开始观察到部分恢复.

结论:

由于网状并发症的担忧,填充剂现在是女性SUI治疗的标准.
BTX是UUI的首选方式.
虽然激光前列腺手术越来越受欢迎,但TURP在BPE中仍然占主导地位.
外科手术的数量仍在在流行后恢复.

关键词:

良性前列腺扩大的手术.路特斯 (Luts) 是一个外流阻塞手术外流阻塞手术现实世界的证据.压力失禁手术是压力失禁手术.迫切需要的失禁手术.

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