慢性尿潴留女性的尿道装置：自我导尿的替代方法？
Urethral device in women with chronic urinary retention: an alternative to self-catheterization?
作者信息
Mazouni Chafika, Karsenty Gilles, Bladou Frank, Serment Gérard
机构信息
Department of Urology, Marseille Public Hospital System, 249 Boulevard Sainte Marguerite, 13009 Marseille, France.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2004 Jul 15;115(1):80-4. doi: 10.1016/j.ejogrb.2003.10.031.
OBJECTIVE
To assess the efficacy and safety of a new urethral prosthesis in the management of chronic urinary retention in women as an alternative to intermittent or indwelling catheterization.
METHODS
Between May 1999 and July 2000, 60 women with chronic urinary retention were prospectively enrolled in the study. The prosthesis was inserted under local anaesthesia. A magnetic control unit activates the urethral device to achieve micturition. Duration of the experience, complications and compliance were evaluated.
RESULTS
Thirty patients were satisfied with the device. Discontinuation occurred in the first two weeks following implantation in 50% of cases. Bladder migration of the prosthesis occurred in two cases, urinary leakage around the device in four patients, spontaneous expulsion in two women and cystitis was diagnosed in two cases.
CONCLUSION
This intraurethral prosthesis is an attractive, simple technique for use as an alternative to catheterization. Some untoward events and technical complications explained the number of discontinuations.
目的
评估一种新型尿道假体在治疗女性慢性尿潴留中的疗效和安全性，作为间歇性导尿或留置导尿的替代方法。
方法
1999年5月至2000年7月，60例慢性尿潴留女性被前瞻性纳入研究。假体在局部麻醉下插入。一个磁性控制单元激活尿道装置以实现排尿。评估使用时间、并发症和依从性。
结果
30例患者对该装置满意。50%的病例在植入后的前两周内停用。假体膀胱移位2例，装置周围尿漏4例，2例女性假体自发排出，2例诊断为膀胱炎。
结论
这种尿道内假体是一种有吸引力的、简单的技术，可作为导尿的替代方法。一些不良事件和技术并发症解释了停用的数量。
Zotero 插件