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Magnetically controlled artificial urinary sphincter: An overview from existing devices to future developments

机译:磁控人工尿道括约肌:从现有设备到未来发展的概述

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Abstract Background Urinary incontinence is a common clinical problem in the world today. Artificial urinary sphincter is a good treatment approach for severe urinary incontinence, which is designed to mimic the action of the human urinary sphincter and assist patients to regain urinary function. Methods There are many control methods based on artificial urinary sphincter, such as hydraulic control, electromechanical control, magnetic control, and shape memory alloy control. In this paper, the literature was first searched and documented based on PRISMA search strategy for selected specific subject terms. Then, a comparison of artificial urethral sphincters based on different control methods was conducted, and the research progress of magnetically controlled artificial urethral sphincters was reviewed, and their advantages and disadvantages were summarized. Finally, the design factors for the clinical application of magnetically controlled artificial urinary sphincter are discussed. Results As magnetic control allows for non‐contact force transfer and does not generate heat, it is proposed that magnetic control may be one of the more promising control methods. The design of future magnetically controlled artificial urinary sphincters will need a variety of considerations, including the structural design of the device, manufacturing materials, manufacturing costs, and convenience. In addition, validation of the safety and effectiveness of the device and device management are equally important. Conclusions The design of an ideal magnetically controlled artificial urinary sphincter is of great importance to enhance patient treatment outcomes. However, there are still great challenges to be faced for the clinical application of such devices.
机译:摘要 背景 尿失禁是当今世界常见的临床问题。人工尿道括约肌是治疗严重尿失禁的良好方法,旨在模仿人体尿道括约肌的作用,帮助患者恢复泌尿功能。方法 基于人工尿道括约肌的控制方法有很多,如液压控制、机电控制、磁控、形状记忆合金控制等。本文首先基于PRISMA检索策略对选定的特定主题词进行文献检索和记录。然后,对基于不同控制方法的人工尿道括约肌进行了比较,回顾了磁控人工尿道括约肌的研究进展,总结了其优缺点。最后,讨论了磁控人工尿道括约肌临床应用的设计因素。结果 由于磁控制允许非接触式力传递且不产生热量,因此提出磁控制可能是较有前途的控制方法之一。未来磁控人工尿道括约肌的设计将需要多种考虑,包括设备的结构设计、制造材料、制造成本和便利性。此外,验证设备的安全性和有效性以及设备管理也同样重要。结论 设计理想的磁控人工尿道括约肌对提高患者治疗效果具有重要意义。然而,此类器械的临床应用仍面临巨大挑战。

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