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stress urinary incontinence in men
Abstract:
The goal of my doctora! dissertation is to evaluate the effectiveness and safety of treatment for patients with iatrogenic stress urinary incontinence by the implantation of an artificial hydraulic urinary sphincter ZSI 375. An important aspect of the study was the assessment of the quality of life of patients after implantation of the artificial urinary sphincter ZSI 375 using questionnaires such as the ICIQ-IU Short Form, SF- 36 and the NRS numerical pain scale. 86 patients aged 28 to 80 years (median 69) were qualified for the implantation of artificial urinary sphincter. The mean observation time was 21 months. Daily wear of the sanitary pads decreased from ~4 to 1.1 (± 0.97) pads per day. 7 (8.1%) patients achieved complete urinary retention, 60 (69.8%) social urinary retention, 14 (16.3%) improved, while 5 (5.8%) failed (~4 inserts) per day ). 15 patients (17 .5%) experienced postoperative complications. There were 11 cases of urethral erosion (12.8%) and 4 with mechanical damage to the device (4.7%). Overall, the study showed a significant improvement in the quality of life of patients after artificial urinary sphincter surgery and was assessed using the respective ICIQ-UI SF and SF-36 questionnaires. In addition, the level of pain experienced by patients was also assessed using the numerical rating scale of pain intensity (JIRS) and was found to be at a very low lev ; el of 1.15 (SD = 0.96). Based on the conducted research, it can be concluded that the implantation of an artificial urinary sphincter ZSI 375 for men with iatrogenic stress urinary incontinence is an effective and relatively safe method of treatment.
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Rada Dyscypliny Nauki medyczne