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在良性前列腺增生症的脱阻手术后,可调节的转闭器男性系统 (ATOMS) - - 脱阻手术的类型是否有所不同?

Leo Federico Stadelmeier¹, Elisa Lederer¹, Ferdinand Heimke¹

¹Department of Urology, University Hospital of Munich, Munich, Germany.

Neurourology and urodynamics

|January 19, 2026

概括

可调节的转闭器男性系统 (ATOMS) 为良性前列腺扩大手术 (BPE) 后的压力尿失禁 (SUI) 提供了安全有效的解决方案. 结果是积极的,无论之前的手术方法或前列腺大小.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术创新在外科创新.
男人的健康男人的健康

背景情况:

压力尿失禁 (SUI) 是良性前列腺扩大 (BPE) 的脱阻手术后的常见并发症.
之前用于BPE的手术技术,如前列腺的通过尿道切除 (TUR-P) 和前列腺的霍尔激光取核 (HoLEP),可以导致SUI.
对BPE后SUI的有效管理选择对于改善患者的生活质量至关重要.

研究的目的:

评估BPE手术后SUI患者的手术安全性,疗效和生活质量的结果,这些患者使用可调节的转闭器男性系统 (ATOMS) 进行治疗.
为了比较之前接受 TUR-P 与 HoLEP 的患者之间的结果.
评估前列腺组织体积对ATOMS治疗成功的影响.

主要方法:

对27名接受了ATOMS植入术后BPE手术 (TUR-P或HoLEP) 的男性患者进行了回顾性分析.
排除以前进行过前列腺切除或癌症相关手术的患者.
在中位数为32个月的随访期间,使用囊测试和问卷评估术前和术后的抑郁,并发症和患者报告的结果.

主要成果:

在TUR-P患者中,完全禁欲率为64.7%,在HoLEP患者中为80.0%,没有显著差异.
手术后的测试结果,并发症率和患者满意度在各组之间是相似的.
大约10%的患者需要进行解释,但整体患者满意度和推率很高.

结论:

原子植入是一种可行的,安全和有效的SUI治疗方法,遵循TUR-P和HoLEP程序.
之前的BPE手术类型和切除前列腺组织的体积不会对ATOMS结果产生负面影响.
这些发现支持扩大ATOMS在BPE后SUI的使用,即使是在前列腺体积大的患者中.

关键词:

原子是什么? 原子是什么?BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE BPE 帮助帮助对于LEP来说,这是一个很好的选择.苏伊 (SUI) 是一个很好的选择.翻过身来翻过身来,就是这样.失禁失禁失禁是什么意思

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