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根治性前列腺切除术后夜尿症的电生理学适宜技术疗效的回顾性评估。

Retrospective Evaluation of the Efficacy of Electrophysiological Appropriate Techniques for Nocturia Following Radical Prostatectomy.

机构信息

Department of Urology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, China.

Zhejiang Hangzhou High School Qiantang, Hangzhou, China.

出版信息

Am J Mens Health. 2024 Sep-Oct;18(5):15579883241290837. doi: 10.1177/15579883241290837.

Abstract

This study retrospectively examines the effectiveness of low-frequency electrical stimulation for addressing nocturia in patients experiencing urinary incontinence after undergoing radical prostatectomy. We reviewed the outcomes of 32 patients who had undergone radical prostatectomy and subsequently experienced urinary incontinence. These patients were divided into the control group ( = 16) who received pelvic floor muscle training and the treatment group ( = 16) who underwent electrophysiological appropriate technique treatment in conjunction with pelvic floor muscle training. We assessed changes in nocturnal voided volume, polyuria index, and nocturia-related quality of life at three different time points: before treatment, after 2 weeks, and at the 3-month follow-up. After 3-month follow-up, both groups exhibit reductions in nocturnal voided volume, and polyuria index compared with baseline and the 2-week mark ( < .05). Treatment group outperformed the control group ( < .05). The quality of life in the treatment group remained consistently high, while the control group did not show a statistically significant difference from baseline ( > .05). The total effective rate was significantly higher in the treatment group (93.75%) than in the control group (75.00%,  = .044). This retrospective analysis suggests that electrophysiological appropriate technique treatment effectively mitigates nocturnal, leading to improved quality of life in patients with urinary incontinence following radical prostatectomy in the near term.

摘要

本研究回顾性分析了低频电刺激治疗根治性前列腺切除术后并发尿失禁患者夜尿症的疗效。我们回顾了 32 例接受根治性前列腺切除术并随后发生尿失禁的患者的结局。这些患者分为对照组(n=16),接受盆底肌训练;治疗组(n=16)接受电生理适当技术治疗联合盆底肌训练。我们在三个不同时间点评估了夜间排尿量、多尿指数和与夜尿症相关的生活质量的变化:治疗前、治疗后 2 周和 3 个月随访。3 个月随访时,两组夜间排尿量和多尿指数均较基线和 2 周时降低( < .05)。治疗组的效果优于对照组( < .05)。治疗组的生活质量持续较高,而对照组与基线相比无统计学差异( > .05)。治疗组的总有效率(93.75%)明显高于对照组(75.00%,  = .044)。这项回顾性分析表明,电生理适当技术治疗可有效缓解夜间症状,从而改善根治性前列腺切除术后近期并发尿失禁患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c3/11526163/fb47c66b660b/10.1177_15579883241290837-fig1.jpg

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