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

罗道升; 卢健军; 梁威宁; 邹演川; 莫俊华; 陈淑儿; 邓春华

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

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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

男科疾病的诊断与治疗新技术 | 更新时间：2024-02-19

- 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
- Visual Electrophysiological Diagnosis and Treatment Technology for Early Intervention of Urinary Incontinence After TUERP
- 中山大学学报（医学科学版） 2022年43卷第6期页码：878-883
- 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：
  
  罗道升，医学博士，主任医师，硕士生导师，研究方向：前列腺疾病、男性不育、泌尿系结石、泌尿系肿瘤，E-mail： zdlouds@126.com
- 基金信息：
  
  国家卫生健康委医药卫生科技发展研究中心项目(HDSL202001021)
- DOI：10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0602
  中图分类号： R69
- 纸质出版日期：2022-11-20，
  
  收稿日期：2022-08-19，
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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

良性前列腺增生剜除术尿失禁电生理

Keywords

benign prostatic hyperplasiatransurethral enucleation and resection of the prostateurinary incontinenceelectrophysiology

references

黄健，王建业，孔垂泽，等. 中国泌尿外科和男科疾病诊断治疗指南［M］. 北京：科学出版社， 2019， 225.

Huang J， Wang JY， Kong CZ， et al. Chinese Guidelines for the Diagonosis and Treatment of Urinary Surgical and Adrological Diseases［M］. Beijing： Science Press， 2019， 225.

李湘平，邓春华. 男性生殖衰老特征的多角度认识［J］. 中山大学学报（医学科学版）， 2022， 43（6）：871-877.

Li XP，Deng CH. Male reproductive aging characteristics：a multi-perspective understanding［J］. J Sun Yat-sen Univ （Med Sci）， 2022， 43（6）：871-877.

刘俊峰，刘春晓，谭朝晖，等. 经尿道双极等离子前列腺剜除术与电切术后尿失禁发生率随机对照研究［J］. 中华男科学杂志， 2014， 20（2）： 165-168.

Liu JF， Liu CX， Tan ZH， et al. Transurethral bipolar plasmakinetic enucleation and resection versus transurethral bipolar plasmakinetic resection of the prostate for BPH： A randomized controlled trial on the incidence of postoperative urinary incontinence［J］. Chin J Andr， 2014， 20（2）：165-168.

Sandhu JS， Breyer B， Comiter C， et al. Incontinence after Prostate Treatment： AUA/SUFU Guideline［J］. J Urol， 2019， 202（2）： 369-378.

张翼，燕铁斌，庄甲举，等译. 临床电生理治疗学（３版）［M］. 北京：人民军医出版社， 2011.

Zhang Y， Yan TB， Zhuang JJ， et al. Clinical Electrophysiotherapy （3rd Edition）［M］. Beijing： People's Military Medical Press， 2011.

Wang Z， Chen Y， Chen C， et al. Pain management of surgical abortion using transcutaneous acupoint electrical stimulation： an orthogonal prospective study［J］. J Obstet Gynaecol Res， 2018， 44（7）： 1235-1242.

Cho MC， Park JH， Jeong MS， et al. Predictor of de novo urinary incontinence following holmium laser enucleation of the prostate［J］. Neurourol Urodyn， 2011， 30（7）： 1343-1349.

Large T， Krambeck AE. Evidence-based outcomes of holmium laser enucleation of the prostate［J］. Curr Opin Urol， 2018， 28（3）： 301-308.

Nam RK， Herschorn S， Loblaw DA， et al. Population based study of long-term rates of surgery for urinary incontinence after radical prostatectomy for prostate cancer［J］. J Urol， 2012， 188（2）： 502-506.

Hodges PW， Stafford RE， Hall L， et al. Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy［J］. Urol Oncol， 2020， 38（5）： 354-371.

邓春华，商学军，王忠，等. 电生理适宜技术在男科疾病诊疗中的应用中国专家共识［J］.中华男科学杂志， 2022， 28（4）： 366-377.

Deng CH， Shang XJ， Wang Z， et al. Consensus of Chinese experts on the application of appropriate electrophysiological techniques in the diagnosis and treatment of andrological diseases［J］. Chin J Andr， 2022， 28（4）： 366-377.

Matsukawa Y， Yoshino Y， Ishida S， et al. De novo overactive bladder after robot_assisted laparoscopic radical prostatectomy［J］. Neurourol Urodyn， 2018， 37（6）： 2008-2014.

Hosier GW， Tennankore KK， Himmelman JG， et al. Overactive Bladder and Storage Lower Urinary Tract Symptoms Following Radical Prostatectomy［J］. Urology， 2016，94： 193-197.

Pané-Alemany R， Ramírez-García I， Carralero-Martínez A， et al. Efficacy of transcutaneous perineal electrostimulation versus intracavitaryanal electrostimulation in the treatment of urinary incontinence after a radical prostatectomy： randomized controlled trial study protocol［J］. BMC Urol， 2021， 21（1）： 12.

Ribeiro LH， Prota C， Gomes CM， et al. Long-term effect of early postoperative pelvic floor biofeedback on continence in men undergoing radical prostatectomy： a prospective， randomized， controlled trial［J］. J Urol， 2010， 184（3）： 1034-1039.

Balog BM， Deng K， Labhasetwar V， et al. Electrical stimulation for neuroregeneration in urology： a new therapeutic paradigm［J］. Curr Opin Urol， 2019， 29（4）： 458-465.

Li S， Lu D， Tang J， et al. Electrical stimulation activates fibro-blasts through the elevation of intracellular free Ca2+： potential mechanism of pelvic electrical stimulation therapy［J］. Bioamed Res Int， 2019， doi： 10.1155/2019/7387803http://dx.doi.org/10.1155/2019/7387803.

Wankhade UD， Shen M， Kolhe R， et al. Advances in adipose-derived stem cells isolation， characterization， and application in regenerative tissue engineering［J］. Stem Cells Int， 2016， doi：10.1155/2016/3206807http://dx.doi.org/10.1155/2016/3206807.

刘飞，袁仕国，张史飞，等. 电刺激肌筋膜激痛点模型大鼠局部微血管再生与血浆内皮素１及一氧化氮的表达［J］. 中国组织工程研究， 2020， 24（26）： 4162-4168.

Liu F， Yuan SG， Zhang SF， et al. Effect of electrical stimulation on local microvessel regeneration and expression of plasma endothelin-1 and nitric oxide In a rat model of myofascial trigger points［J］. Chin J Tissue Engin Res， 2020， 24（26）： 4162-4168．

Liu S， Wang ZF， Su YS， et al. Somatotopic organization and intensity dependence in driving distinct NPY-expressing sympathetic pathways by electroacupuncture［J］. Neuron， 2020， 108（3）： 436-450.

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