骶部表面治疗性电刺激对耻骨后根治性前列腺切除术后尿失禁早期恢复的影响：一项初步研究。
Impact of sacral surface therapeutic electrical stimulation on early recovery of urinary continence after radical retropubic prostatectomy: a pilot study.
作者信息
Nakagawa Haruo, Kaiho Yasuhiro, Namiki Shunichi, Ishidoya Shigeto, Saito Seiichi, Arai Yoichi
机构信息
Department of Urology, Graduate School of Medicine, Tohoku University, 1.1 Seiryo Aoba-ku Sendai 980-8574, Japan.
出版信息
Adv Urol. 2010;2010:102751. doi: 10.1155/2010/102751. Epub 2010 Apr 29.
OBJECTIVES
To investigate whether sacral surface therapeutic electrical stimulation (SSTES) initiated during the early postoperative period would be effective towards early recovery of postprostatectomy urinary continence.
METHODS
A total of 35 consecutive patients who underwent radical prostatectomy by a single surgeon were enrolled in this study. Twenty early patients began pelvic floor muscle exercise (PME). Fifteen subsequent patients received SSTES postoperatively with no instruction for PME provided. Immediate urinary function just after catheter removal was evaluated with frequency-volume chart and 24-hour pad test.
RESULTS
There were no differences between the SSTES and PME groups in maximum voided volume capacity (MVV) and urine loss ratio (ULR) on the first day after removal of urethral catheter. However, on day 3 MVV was significantly larger and ULR was also significantly lower in the SSTES group.
CONCLUSIONS
SSTES treatment is feasible and appears to be effective for early recovery of urinary continence after radical prostatectomy.
目的
探讨术后早期开始的骶部表面治疗性电刺激（SSTES）对前列腺切除术后尿失禁早期恢复是否有效。
方法
本研究纳入了由单一外科医生连续实施根治性前列腺切除术的35例患者。20例早期患者开始进行盆底肌肉锻炼（PME）。随后的15例患者术后接受SSTES治疗，未给予PME指导。拔除导尿管后立即通过频率-容量图和24小时尿垫试验评估排尿功能。
结果
拔除尿道导尿管后第1天，SSTES组和PME组在最大排尿量（MVV）和尿失禁率（ULR）方面无差异。然而，在第3天，SSTES组的MVV显著更大，ULR也显著更低。
结论
SSTES治疗是可行的，并且似乎对根治性前列腺切除术后尿失禁的早期恢复有效。
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