AIM: To evaluate the clinical effect and complications of two different filling materials (aerocyst urethral catheter and expansion sponges) applying in external dacryocystorhinostomy (EXT-DCR) and compare their advan...AIM: To evaluate the clinical effect and complications of two different filling materials (aerocyst urethral catheter and expansion sponges) applying in external dacryocystorhinostomy (EXT-DCR) and compare their advantages and disadvantages. METHODS: A retrospective study was made in the period from April, 1 2000 to April, 1 2005. Totally 180 patients (240 eyes) underwent the EX-DCR using different filling materials and divided into three groups randomly: negative control groups (group 1), expansion sponges group (group 2) and aerocyst urethral catheter group (group 3). The gender, etiology, clinical findings, surgical technique, filling materials, the condition of ocular surface and complications were analyzed. Filling materials were removed during day 7. Postoperative success was determined by lacrimal patency to irrigation, a positive dye test, hemorrhage and errhysis conditions after extubation and subjective resolution of epiphora and liquor puris. RESULTS: During a mean follow-up of 5.14? .69 years, the success rate were 73.7% (group 1), 86.5% (group 2), 98.7% (group 3) in three groups. There was significant statistical difference among three groups in the surgical success rate and the operative complications (including hemorrhage, errhysis, periorbital ecchymosis after extubation)(P<0.05). CONCLUSION: EXT-DCR with aerocyst urethral cathete intraoperatively have higher success rate, fewer operative complications and a high patient satisfaction,and can be used to simplify and speed up traditional EXT-DCR.展开更多
Introduction:Though urinary incontinence(UI)after prostate treatment often contributes to emotional distress and significantly impacts quality of life,many patients do not discuss this condition with their physicians....Introduction:Though urinary incontinence(UI)after prostate treatment often contributes to emotional distress and significantly impacts quality of life,many patients do not discuss this condition with their physicians.We analyzed the patient perspective by examining online support group posts to gain insight into specific challenges associated with different UI management methods. Methods:We examined discussion board threads from multiple patient-focused forums on experiences of UI due to prostate treatment(threads from January 2016 to January 2022).Principles of grounded theory in thematic analysis were used to analyze the threads. Results:Three hundred and eighteen posts from 84 unique users were analyzed.Among users,47(56%)reported UI following radical prostatectomy(RP),5(6%)secondary to radiation therapy(RT),12(14%)after a combination of RP and RT,and 20(24%)were ambiguous.UI management methods included pads/diapers/liners,condom catheters/external clamps,Kegels/pelvic floor physiotherapy,and surgical treatment(artificial urinary sphincter or sling placement).We identified challenges common to all management methods:"requires trial and error,""physical discomfort,"and"difficult to be in public."Factors influencing management choices included the ability to"feel normal"and the development of a management routine. Conclusion:The current study identifies opportunities for improved expectation-setting and education regarding post-procedural UI and its management.These findings can serve as a guide for providers to counsel patients on the advantages and disadvantages of UI management devices.展开更多
目的系统评价夹管训练对促进术后留置尿管患者拔管后排尿功能恢复的有效性。方法计算机检索JBI Library、Cochrane Library、Pubmed、OVID、Web of Science及中国期刊网(CNKI)、万方学术期刊数据库、维普中文期刊数据库(VIP)、中国生物...目的系统评价夹管训练对促进术后留置尿管患者拔管后排尿功能恢复的有效性。方法计算机检索JBI Library、Cochrane Library、Pubmed、OVID、Web of Science及中国期刊网(CNKI)、万方学术期刊数据库、维普中文期刊数据库(VIP)、中国生物医学文献服务系统(CBM),纳入比较夹管训练和其他尿管护理方式对术后留置尿管的患者拔管后排尿功能恢复的随机对照试验,由两名研究者进行文献质量评价和资料提取,对符合质量标准的研究进行Meta分析。结果夹管训练膀胱功能在缩短首次排尿时间[WMD=0.01,95%CI(-0.77,0.79),P=0.97]和减轻排尿不适症状[RR=0.48,95%CI(0.21,1.08),P=0.08]上差异无统计学意义,但在降低尿管重置率[RR:0.63,95%CI(0.42,0,95),P=0.03]上有优势。结论夹管训练能有效促进患者排尿功能恢复,降低患者拔管后尿管重置率,值得推广。展开更多
基金Supported by National Natural Science Foundation of China(No.81160118,81160105,81170823, 81100648,81100649)Technology Foundation of Jiangxi Province,China(No.20111BBG70026-2)+2 种基金Health Department Foundation of Jiangxi Province,China(No.20091069)Distinguished Young Talents in Higher Education Foundation of Guangdong,China(No.LYM10112)The National High Technology Research of China(863 project)(No.2006AA02A131)
文摘AIM: To evaluate the clinical effect and complications of two different filling materials (aerocyst urethral catheter and expansion sponges) applying in external dacryocystorhinostomy (EXT-DCR) and compare their advantages and disadvantages. METHODS: A retrospective study was made in the period from April, 1 2000 to April, 1 2005. Totally 180 patients (240 eyes) underwent the EX-DCR using different filling materials and divided into three groups randomly: negative control groups (group 1), expansion sponges group (group 2) and aerocyst urethral catheter group (group 3). The gender, etiology, clinical findings, surgical technique, filling materials, the condition of ocular surface and complications were analyzed. Filling materials were removed during day 7. Postoperative success was determined by lacrimal patency to irrigation, a positive dye test, hemorrhage and errhysis conditions after extubation and subjective resolution of epiphora and liquor puris. RESULTS: During a mean follow-up of 5.14? .69 years, the success rate were 73.7% (group 1), 86.5% (group 2), 98.7% (group 3) in three groups. There was significant statistical difference among three groups in the surgical success rate and the operative complications (including hemorrhage, errhysis, periorbital ecchymosis after extubation)(P<0.05). CONCLUSION: EXT-DCR with aerocyst urethral cathete intraoperatively have higher success rate, fewer operative complications and a high patient satisfaction,and can be used to simplify and speed up traditional EXT-DCR.
文摘Introduction:Though urinary incontinence(UI)after prostate treatment often contributes to emotional distress and significantly impacts quality of life,many patients do not discuss this condition with their physicians.We analyzed the patient perspective by examining online support group posts to gain insight into specific challenges associated with different UI management methods. Methods:We examined discussion board threads from multiple patient-focused forums on experiences of UI due to prostate treatment(threads from January 2016 to January 2022).Principles of grounded theory in thematic analysis were used to analyze the threads. Results:Three hundred and eighteen posts from 84 unique users were analyzed.Among users,47(56%)reported UI following radical prostatectomy(RP),5(6%)secondary to radiation therapy(RT),12(14%)after a combination of RP and RT,and 20(24%)were ambiguous.UI management methods included pads/diapers/liners,condom catheters/external clamps,Kegels/pelvic floor physiotherapy,and surgical treatment(artificial urinary sphincter or sling placement).We identified challenges common to all management methods:"requires trial and error,""physical discomfort,"and"difficult to be in public."Factors influencing management choices included the ability to"feel normal"and the development of a management routine. Conclusion:The current study identifies opportunities for improved expectation-setting and education regarding post-procedural UI and its management.These findings can serve as a guide for providers to counsel patients on the advantages and disadvantages of UI management devices.
文摘目的系统评价夹管训练对促进术后留置尿管患者拔管后排尿功能恢复的有效性。方法计算机检索JBI Library、Cochrane Library、Pubmed、OVID、Web of Science及中国期刊网(CNKI)、万方学术期刊数据库、维普中文期刊数据库(VIP)、中国生物医学文献服务系统(CBM),纳入比较夹管训练和其他尿管护理方式对术后留置尿管的患者拔管后排尿功能恢复的随机对照试验,由两名研究者进行文献质量评价和资料提取,对符合质量标准的研究进行Meta分析。结果夹管训练膀胱功能在缩短首次排尿时间[WMD=0.01,95%CI(-0.77,0.79),P=0.97]和减轻排尿不适症状[RR=0.48,95%CI(0.21,1.08),P=0.08]上差异无统计学意义,但在降低尿管重置率[RR:0.63,95%CI(0.42,0,95),P=0.03]上有优势。结论夹管训练能有效促进患者排尿功能恢复,降低患者拔管后尿管重置率,值得推广。
