膀功能测试在良性前列腺阻塞手术前的作用
Charles Mazeaud1,2, Natalia Hernandez1, Ricardo R Gonzalez3
1Department of Urology, Houston Methodist Hospital, Houston, TX, USA.
Current urology reports
|June 8, 2023
概括
对良性前列腺阻塞 (BPO) 的术前功能测试缺乏共识. 泌尿动力学研究 (UDS) 是黄金标准,但不是标准,而Urocuff显示出对不太侵入性评估的承诺.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科评估的评估.
- 下尿道的症状 下尿道的症状
背景情况:
- 良性前列腺阻塞 (BPO) 引起下泌尿道症状 (LUTS),通常需要手术干预.
- 对于BPO的外科治疗结果可能是可变的,这突显了需要准确的手术前评估的需要.
- 目前的指导方针缺乏关于手术前功能测试的常规使用的共识.
研究的目的:
- 审查BPO手术前功能测试的最新发现和争议.
- 评估尿动力学研究 (UDS) 和替代方法的好处和局限性.
- 强调改进的手术前表征,以便更好地进行手术决策.
主要方法:
- 对BPO的手术前功能测试现有文献的叙述性综述.
- 分析尿动力学研究 (UDS) 在评估膀输出阻塞 (BOO) 中的作用.
- 探索更少侵入性的诊断方法,例如Urocuff.
主要成果:
- 尿动力学研究 (UDS) 是评估膀出口阻塞 (BOO) 和预测手术成功的黄金标准,但不建议常规使用.
- 令人惊的是,缺乏强有力的证据来支持或反驳UDS的常规使用.
- 非侵入性Urocuff测试显示,通过一种不那么侵入性的方法来评估BOO具有前景.
- 精确的手术前评估BOO和膀功能可以帮助患者咨询和预期设置.
结论:
- 改善BPO患者的手术前表征对于优化手术决策至关重要.
- 在手术前确认BOO和膀功能可以提高患者的咨询和术后期望.
- 进一步研究不那么侵入性和标准化的手术前评估是有必要的,以改善LUTs的外科结果.
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