根据IDEAL框架对根治性前列腺切除术后男性尿失禁的外科植入手术进行综述。
Review of surgical implant procedures for male incontinence after radical prostatectomy according to IDEAL framework.
作者信息
Barski Dimitri, Gerullis Holger, Otto Thomas
机构信息
Department of Urology, Lukas Hospital Neuss, Preussenstreet 84, 41464, Neuss, Germany.
Klinikum Oldenburg, School of Medicine and Health Sciences, University Hospital for Urology, Carl von Ossietzky University Oldenburg, Rahel-Straus-Street 10, 26133, Oldenburg, Germany.
出版信息
Updates Surg. 2017 Sep;69(3):327-338. doi: 10.1007/s13304-017-0460-x. Epub 2017 May 6.
Most aspects of surgical therapy for stress urinary incontinence (SUI) after radical prostatectomy (RP) are under debate or poorly studied. A systematic review was conducted and a literature search was carried out through PubMed database for articles on the surgical procedures for male SUI after RP published from Jan 2010 to Nov 2016. The efficacy results (pad count, 24 h pad test), complications, and quality of life (QoL) were reported. The included studies were categorized in accordance with the IDEAL framework of surgical innovation. Only Stage 0-2 IDEAL studies were revealed by systematic review of the literature. Randomized and long-term trials are missing. The current evidence on male SUI therapy is low. IDEAL-conform evaluation of new therapies should be applied in the future.
根治性前列腺切除术后压力性尿失禁（SUI）的外科治疗的大多数方面仍存在争议或研究不足。我们进行了一项系统评价，并通过PubMed数据库检索了2010年1月至2016年11月发表的关于根治性前列腺切除术后男性SUI手术治疗的文章。报告了疗效结果（尿垫计数、24小时尿垫试验）、并发症和生活质量（QoL）。纳入的研究根据手术创新的IDEAL框架进行分类。通过对文献的系统评价，仅发现了0-2期IDEAL研究。缺少随机和长期试验。目前关于男性SUI治疗的证据不足。未来应采用符合IDEAL的新疗法评估。
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