Visual Electrophysiological Diagnosis and Treatment Technology for Early Intervention of Urinary Incontinence After TUERP

LUO Dao-sheng; LU Jian-jun; LIANG Wei-ning; ZOU Yan-chuan; MO Jun-hua; CHEN Shu-er; DENG Chun-hua

doi:10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0602

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Visual Electrophysiological Diagnosis and Treatment Technology for Early Intervention of Urinary Incontinence After TUERP

New diagnostic and therapeutic strategies for male diseases | 更新时间：2024-02-19

- Visual Electrophysiological Diagnosis and Treatment Technology for Early Intervention of Urinary Incontinence After TUERP
- Journal of Sun Yat-sen University(Medical Sciences) Vol. 43, Issue 6, Pages: 878-883(2022)
- 作者机构：
  
  1.南方医科大学附属东莞医院//东莞市人民医院泌尿外科，广东东莞 523059
  2.中山大学附属第一医院泌尿男科，广东广州 510080
- 作者简介：
  
  DENG Chun-hua； E-mail： dengchh@mail.sysu.edu.cn
- 基金信息：
- DOI：10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0602
  CLC： R69
- Received：19 August 2022，
  
  Published：20 November 2022
- 稿件说明：
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罗道升,卢健军,梁威宁等.可视化电生理诊断与治疗技术早期干预前列腺剜除术后尿失禁[J].中山大学学报（医学科学版）,2022,43(06):878-883.

LUO Dao-sheng,LU Jian-jun,LIANG Wei-ning,et al.Visual Electrophysiological Diagnosis and Treatment Technology for Early Intervention of Urinary Incontinence After TUERP[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(06):878-883.
罗道升,卢健军,梁威宁等.可视化电生理诊断与治疗技术早期干预前列腺剜除术后尿失禁[J].中山大学学报（医学科学版）,2022,43(06):878-883. DOI： 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0602.

LUO Dao-sheng,LU Jian-jun,LIANG Wei-ning,et al.Visual Electrophysiological Diagnosis and Treatment Technology for Early Intervention of Urinary Incontinence After TUERP[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(06):878-883. DOI： 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0602.

摘要

目的

总结可视化电生理诊断与治疗技术在经尿道前列腺剜除术（TUERP）后早期干预对术后尿失禁的作用。

方法

选取2020年12月至2022年6月在东莞市人民医院普济院区接受TUERP的良性前列腺增生症（BPH）患者86例作为治疗组，术后第6天拔除尿管当天接受可视化电生理诊断及治疗；选取同期接受TUERP的BPH患者79例作为对照组，术后第6天拔除尿管不进行电生理技术干预。比较两组患者术后6天、1个月及3个月的尿失禁比率。

结果

两组术前基数资料组间比较差异无统计学意义，术后第6天拔除尿管出现尿失禁的比率分别为：治疗组13例（15.1%），对照组12例（15.2%），两组间差异无统计学意义（

0.05），两组总体术后尿失禁发生率15.2%（25/165）。随访至术后1月时，治疗组尿失禁患者为4例（4.65%），对照组尿失禁患者为13例（16.5%），两组间差异有统计学意义（

=0.019）。随访至术后3月时，治疗组无尿失禁患者，对照组仍有7例（8.86%）尿失禁患者，差异具有统计学意义（

=0.005）。

结论

可视化电生理诊断与治疗技术早期干预可以有效防治TUERP术后尿失禁的发生，具有良好的临床应用价值。

Abstract

Objective

To summarize the effect of visual electrophysiological diagnosis and treatment technology on postoperative urinary incontinence in early intervention after transurethral enucleation and resection of the prostate （TUERP）.

Methods

Totally 86 patients with benign prostatic hyperplasia （BPH） who underwent TUERP in the Puji Branch Hospital of Dongguan People's Hospital from December 2020 to June 2022 were selected as the treatment group， who received electrophysiological treatment after postoperative removal of the catheter on the 6th day after surgery， while 79 cases who received no electrophysiological treatment after surgery were selected as the control group. The urinary incontinence rates of the two groups on the 6

day， at 1 month and 3 months after surgery were observed.

Results

There was no statistical difference between the two groups in the preoperative basic data. The rates of urinary incontinence after removal of the catheter in the two groups on the 6

day after surgery were 13 cases （15.1%） in the treatment group and 12 cases （15.2%） in the control group. There was no significant difference between the two groups （

0.05）， and the overall postoperative urinary incontinence rate in the two groups was 15.2% （25/165）. At one month after surgery， only 4 cases （4.65%） had slight urinary incontinence in the treatment group， while 13 cases （16.5%） in the control group still had urinary incontinence， and the difference between the two groups was statistically significant （

=0.019）. After follow-up to three months after operation， there was no case of urinary incontinence in the treatment group， and there were still 7 cases （8.86%） of urinary incontinence in the control group. The difference between the two groups was statistically significant （

=0.005）.

Conclusion

The early intervention of visual electrophysiological diagnosis and treatment technology can effectively prevent the occurrence of urinary incontinence after TUERP， and has good value in clinical application.

关键词

Keywords

references

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