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功能性磁刺激治疗前列腺切除术后的控尿功能。

POSTPROSTATECTOMY CONTINENCE AFTER FUNCTIONAL MAGNETIC PELVIC STIMULATION.

机构信息

Department of Rheumatology and Rehabilitation, Zagreb University Hospital Center, Zagreb, Croatia.

Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia.

出版信息

Acta Clin Croat. 2023 Jul;62(Suppl2):123-126. doi: 10.20471/acc.2023.62.s2.17.

Abstract

Although radical prostatectomy is considered the gold standard for optimal treatment of localized prostate cancer, this radical surgery carries a significant risk of erectile dysfunction and urinary incontinence which can be present as transient or permanent side effects in many patients. We have made significant advances in diagnostic and surgical approach to prostate cancer, using a number of new methods that are becoming increasingly available, resulting in better treatment outcomes. However, we still do not use all the possibilities for the prevention and treatment of these side effects, probably due to their insufficient research, or unclear effectiveness. Functional magnetic stimulation is a method used to treat a large number of diseases, i.e., to alleviate their symptoms and ailments. Its role through pelvic stimulation has been proven in the treatment of incontinence in women, and in our study, we want to determine its role in more detail, primarily in the treatment of urinary incontinence in patients after prostate cancer surgery. In case of positive results, this method may be recommended for wider use in patients with adverse effects of radical prostatectomy.

摘要

虽然根治性前列腺切除术被认为是治疗局限性前列腺癌的最佳标准,但这种根治性手术会带来显著的勃起功能障碍和尿失禁风险,许多患者会出现短暂或永久性的副作用。我们在前列腺癌的诊断和手术方法上取得了重大进展,使用了许多新的方法,这些方法越来越普及,治疗效果也越来越好。然而,我们仍然没有充分利用所有可能的方法来预防和治疗这些副作用,这可能是由于对它们的研究不足,或者效果不明确。功能性磁刺激是一种用于治疗多种疾病的方法,即减轻其症状和不适。其通过骨盆刺激在女性尿失禁治疗中的作用已得到证实,在我们的研究中,我们希望更详细地确定其作用,主要是在治疗前列腺癌手术后的患者的尿失禁。如果结果为阳性,该方法可能会被推荐给更多因根治性前列腺切除术而出现不良反应的患者使用。

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本文引用的文献

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Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy.
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A critical review on magnetic stimulation: what is its role in the management of pelvic floor disorders?
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