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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.

DOI:10.1177/15579883241290837
PMID:39462282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11526163/
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/11c3/11526163/4a792519ba83/10.1177_15579883241290837-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c3/11526163/fb47c66b660b/10.1177_15579883241290837-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c3/11526163/4a792519ba83/10.1177_15579883241290837-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c3/11526163/fb47c66b660b/10.1177_15579883241290837-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c3/11526163/4a792519ba83/10.1177_15579883241290837-fig2.jpg

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本文引用的文献

1
The Effect of Low-Frequency Electrical Stimulation Combined With Anus Lifting Training on Urinary Incontinence After Radical Prostatectomy in a Chinese Cohort.低频电刺激联合提肛训练对中国人群前列腺癌根治术后尿失禁的影响。
Am J Mens Health. 2023 May-Jun;17(3):15579883231183770. doi: 10.1177/15579883231183770.
2
A systematic review of treatment options for post-prostatectomy incontinence.前列腺切除术治疗后尿失禁的治疗方法的系统评价。
World J Urol. 2022 Nov;40(11):2617-2626. doi: 10.1007/s00345-022-04146-5. Epub 2022 Sep 15.
3
Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.
全球癌症统计数据 2018:GLOBOCAN 对全球 185 个国家/地区 36 种癌症的发病率和死亡率的估计。
CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12.
4
A study of transobturator tape in stress urinary incontinence.经闭孔尿道中段吊带术治疗压力性尿失禁的研究
Urol Ann. 2017 Jan-Mar;9(1):9-12. doi: 10.4103/0974-7796.198867.
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Short-, Intermediate-, and Long-term Quality of Life Outcomes Following Radical Prostatectomy for Clinically Localized Prostate Cancer.临床局限性前列腺癌根治性前列腺切除术后的短期、中期和长期生活质量结果
Rev Urol. 2013;15(4):161-77.
6
Nocturia is associated with an increased risk of coronary heart disease and death.夜尿症与冠心病和死亡风险增加有关。
BJU Int. 2012 Sep;110(6):848-53. doi: 10.1111/j.1464-410X.2011.10806.x. Epub 2012 Jan 10.
7
The association of nocturia with incident falls in an elderly community-dwelling cohort.夜尿症与老年社区居民中跌倒事件的相关性。
Int J Clin Pract. 2010 Apr;64(5):577-83. doi: 10.1111/j.1742-1241.2009.02326.x.
8
Postprostatectomy incontinence: all about diagnosis and management.前列腺切除术后尿失禁:关于诊断与管理的一切
Eur Urol. 2009 Feb;55(2):322-33. doi: 10.1016/j.eururo.2008.10.029. Epub 2008 Oct 23.