因袖带侵蚀取出人工尿道括约肌后的尿道处理
Urethral management after artificial urinary sphincter explantation due to cuff erosion.
作者信息
Białek Łukasz, Frankiewicz Mikołaj, Adamowicz Jan, Campos-Juanatey Felix, Cocci Andrea, Mantica Guglielmo, Rosenbaum Clemens M, Verla Wesley, Waterloos Marjan, Vetterlein Malte W
机构信息
Department of Urology, Centre for Postgraduate Medical Education, Warsaw, Poland.
Department of Urology, Medical University of Gdańsk, Gdańsk, Poland.
出版信息
Cent European J Urol. 2023;76(4):322-324. doi: 10.5173/ceju.2023.132. Epub 2023 Nov 8.
INTRODUCTION
The artificial urethral sphincter (AUS) is the gold standard treatment in cases of moderate-to-severe stress urinary incontinence in males. Cuff erosions are one of the most important distant complications of AUS implantation. The optimal urethral management has still not been established.
MATERIAL AND METHODS
Search terms related to 'urethral stricture', 'artificial urinary sphincter', and 'cuff erosion' were used in the PubMed database to identify relevant articles.
RESULTS
In this mini review we identified 6 original articles that assessed the urethral management after AUS explantation due to cuff erosion and included urinary diversion by transurethral and/or suprapubic catheterization, urethrorrhaphy, and urethroplasty. We summarized the results of different management methods and their efficacy in terms of preventing urethral stricture formation. We highlight the need for better-quality evidence on this topic.
CONCLUSIONS
The available data do not provide a clear answer to the question of optimal urethral management during AUS explantation. There is a great need to provide higher-quality evidence on this topic.
引言
人工尿道括约肌（AUS）是男性中重度压力性尿失禁病例的金标准治疗方法。袖带侵蚀是AUS植入最重要的远期并发症之一。最佳的尿道处理方法尚未确定。
材料与方法
在PubMed数据库中使用与“尿道狭窄”“人工尿道括约肌”和“袖带侵蚀”相关的检索词来识别相关文章。
结果
在本综述中，我们识别出6篇原创文章，这些文章评估了因袖带侵蚀而取出AUS后的尿道处理方法，包括经尿道和/或耻骨上导管插入术进行尿液改道、尿道修补术和尿道成形术。我们总结了不同处理方法的结果及其在预防尿道狭窄形成方面的疗效。我们强调在这个主题上需要更高质量的证据。
结论
现有数据并未明确回答AUS取出期间最佳尿道处理方法的问题。在这个主题上非常需要提供更高质量的证据。
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