Chang Lu, Fang Wenzhuo, Chen Bin, Cao Shilei, Fu Qiang, Zhang Kaile
The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiao tong University, No. 600, Yishan Road, Shanghai, China.
JIQU Medical Technology Co., Ltd, Shanghai, China.
Sci Rep. 2025 May 14;15(1):16703. doi: 10.1038/s41598-025-00413-8.
Posterior urethral stricture is a severe disease in urology, and end-to-end urethral anastomosis remains the gold standard treatment. The surgical outcome not only depends on meticulous intraoperative management but also on postoperative care. Key aspects of postoperative care include stable compression bandaging, prevention of skin tension and allergic blistering, and preventing penile from erection. We have produced a multifunctional protective pant that is expected to prove its effectiveness through a randomized controlled study. This study included 50 patients who were divided into an experimental group and a control group. The patients in the experimental group wore the protective pants immediately after surgery. On the basis of routine care in the control group, health education and guidance for patients and family members on wearing protective pants were added. During the postoperative period until discharge, we observed the occurrence of wound bleeding, abnormal body temperature, and evaluated patient infection status based on results such as blood routine and procalcitonin. A numerical scoring table was used for pain assessment during the three days and nine shifts handover of patients. Patient feedback during pants usage was obtained through a self-assessment questionnaire two months after surgery. On the second day after surgery, the incidence of scrotum oedema in the experimental group was significantly lower than that in the control group, with a statistically significant difference (P < 0.05). Within five days after surgery, the experimental group had a significantly lower incidence of wound bleeding, skin allergic blisters and erectile pain compared to the control group, with a statistically significant difference (P < 0.05). The use of the protective pants effectively reduced postoperative complications during the perioperative period, and significantly improving surgical success rates and patient satisfaction.
后尿道狭窄是泌尿外科的一种严重疾病，尿道端端吻合术仍然是金标准治疗方法。手术效果不仅取决于术中的精细操作，还取决于术后护理。术后护理的关键方面包括稳定的压迫包扎、预防皮肤张力和过敏性水疱，以及防止阴茎勃起。我们制作了一种多功能保护裤，预计通过随机对照研究证明其有效性。本研究纳入了50例患者，分为实验组和对照组。实验组患者术后立即穿着保护裤。对照组在常规护理的基础上，增加了对患者及其家属关于穿着保护裤的健康教育和指导。在术后直至出院期间，我们观察伤口出血、体温异常情况，并根据血常规、降钙素原等结果评估患者感染状况。在患者术后三天及九个班次交接时，使用数字评分表进行疼痛评估。术后两个月通过自我评估问卷获取患者使用保护裤期间的反馈。术后第二天，实验组阴囊水肿的发生率显著低于对照组，差异有统计学意义（P < 0.05）。术后五天内，实验组伤口出血、皮肤过敏性水疱和勃起疼痛的发生率明显低于对照组，差异有统计学意义（P < 0.05）。使用保护裤有效减少了围手术期的术后并发症，显著提高了手术成功率和患者满意度。
