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Impa.t of Thera.eutic Electrica. Stimula.ion of Sa.ra. Surfa.e Considering Individua. a.a.omica. Sa.ra. Va.ia.ions on Ea.ly Recovery Urina.y Continence a.ter Ra.ica. Prosta.ectomy

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Forensic Medicine a.d a.a.omy Resea.ch 2017年第1期5卷 1-13页

作者： naser a. elsawy Hesha. G. Ma.ra. a.dulla. G. a.kushi Depa.tment of La.ora.ory Medicine Faculty of Applied Medical Sciences Umm al Qura University Makkah KSA Depa.tment of a.a.omy a.d Embryology Faculty of Medicine Zagazig University Zagazig Egypt Depa.tment of Physica. Thera.y for Surgery Faculty of Physical Therapy Cairo University Cairo Egypt Depa.tment of a.a.omy Faculty of Medicine Umm Al-Qura University Makkah KSA

Objectives: To investiga.e the effect of electrica. stimula.ion of different a.a.omica. va.ia.ions of sa.ra. surfa.e on ea.ly recovery of urina.y continence a.ter ra.ica. prosta.ectomy. Methods: Twenty of 53 consecutive pa.ients who underwent prosta.ectomy by a.single surgeon were enrolled in this study. Ten pa.ients were prospectively ra.domized to two groups;five pa.ients in Sa.ra. fora.ena.stimula.ion group received postopera.ive surfa.e electrica. stimula.ion of sa.ra. fora.ina.a.ea.while five pa.ients in control group did not received a.y electrica. stimula.ion. Selection of rema.ning ten pa.ients depended on sa.ra. hia.us a.a.omica. va.ia.ions, a.sessed by pla. X-ra.s. Of the ten pa.ients, five pa.ients with sa.ra. hia.us subtota.s were grouped under SHS1 while 5 pa.ients with sa.ra. hia.us tota.s were grouped a. SHS2. Electrica. stimula.ion for ea.h group bega. 7 da.s a.ter ca.heter remova., thrice a.week for 8 weeks. Ea.h of the 24 trea.ment sessions for ea.h group composed of 20 minutes for sa.ra. electrica. stimula.ion. Continence wa. eva.ua.ed a. ba.eline, 4 a.d 8 weeks using the 24-hour pa. test a.d a.cording to the incontinence section of the Interna.iona. Continence Society questionna.re. Results: a.ter 2 weeks of trea.ment, the mea. lea.a.e weight wa. compa.a.le between SFS group a.d SHS1 group while it wa. significa.tly lowered in SHS2 a. compa.ed to SFS a.d SHS1 groups. Compa.ing mea. lea.a.e weight a. 8 weeks revea.ed further significa.t reduction in SHS2 group tha. in SFS a.d SHS1 groups. Moreover, percenta.e of continent pa.ients wa. highest in SHS2 group a.ter 8 weeks of trea.ment followed by SHS1, SFS a.d control respectively. Conclusions: Electrica. stimula.ion of sa.ra. hia.us surfa.e a.ea.ma. provide better stimula.ion for sa.ra. nerve tha. sa.ra. fora.ena.surfa.e a.ea.a.d a.pea.s to be effective trea.ment for ea.ly recovery of urina.y continence a.ter ra.ica. prosta.ectomy.

关键词： Urina.y Incontinence Electrica. Stimula.ion Sa.ra. Fora.ina Sa.ra. Hia.us a.ea Ra.ica. Prosta.ectomy

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