了解前列腺核切除手术中的患者和外科医生的优先事项:来自ENUC-TR多中心截面研究的见解
Adnan Basaran1, Ozgur Kazan1, Cengiz Canakci2
1Department of Urology, Istanbul Medeniyet University, Istanbul, Türkiye.
Urology
|March 13, 2026
概括
泌尿科医生和患者一致认为,在核切除手术后,要优先考虑排尿和节制. 然而,外科医生认为射精很低,而一些患者认为射精很重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 以患者为中心的护理
背景情况:
- 化手术是治疗下泌尿道症状的常见手术.
- 了解患者和外科医生的优先事项对于知情同意和共享决策至关重要.
- 结果的感知重要性上的差异可能会影响患者的满意度.
研究的目的:
- 为了比较进行核化手术的泌尿科医生与手术候选人的术后优先事项.
- 确定对手术结果的预期存在潜在的错位区域.
主要方法:
- 一项横截面研究涉及82名泌尿科医生和622名男性患者 (≥50岁) 的调查,这些患者有下尿路症状.
- 数据是通过面对面的问卷在四个泌尿外科诊所收集的.
- 分析的重点是比较外科医生和患者对各种术后结果的排名优先级.
主要成果:
- 两组人都优先考虑了节制和有效排尿. 外科医生认为禁欲更高 (p=0.001).
- 外科医生对射精的优先级最低,而很大一部分患者认为射精很重要 (p=0.005).
- 关于射精和勃起功能的信息被大量泌尿科医生在手术前的讨论中遗漏.
结论:
- 有效的排尿和节制是接受核切除手术的患者和外科医生的共同优先事项.
- 射精功能的感知重要性存在显著差异,患者比外科医生更重视它.
- 术前咨询需要解决预期结果的潜在差异,特别是关于性功能的问题.
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