良性前列腺增生 前列腺尿道提升后的手术重复治疗 一个叙述性回顾
Nicholas S Dean1, Mark A Assmus1, Matthew S Lee1
1Northwestern University, Department of Urology, Chicago, IL, United States.
概括
在前列腺尿道提升 (PUL) 后对良性前列腺增生 (BPH) 的手术重新治疗缺乏确的证据. 前列腺的holmium核化 (HoLEP) 显示了最有前途的安全和有效的BPH在PUL后的再治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 良性前列腺增生症管理管理
背景情况:
- 前列腺尿道提升 (PUL) 是一种常见的BPH手术,但7分之一的患者需要在5年内重新治疗.
- 对于PUL后的再治疗选择,存在有限的证据.
研究的目的:
- 审查PUL后手术BPH再治疗方式的证据.
- 专注于安全性,短期有效性,耐用性和成本.
主要方法:
- 在PubMed的文献综述和在线资源.
- 包括英语的人类研究.
- 审查了相关研究的引用.
主要成果:
- 没有研究评估过尿道切除前列腺 (TURP) 或重复PUL后PUL.
- 在PUL后,前列腺的霍尔核化 (HoLEP) 似乎是安全的,结果与对照组相比较.
- 其他方法的证据有限,如水蒸气热疗法 (WVTT) 和前列腺动脉栓塞 (PAE).
- 前列腺光选择性蒸发 (PVP) 或PUL后的机器人喷水处理 (RWT) 没有安全性或有效性数据.
结论:
- 对于在PUL后重新治疗BPH的证据和指导是有限的.
- 在PUL后的环境中,HoLEP展示了安全和有效使用的最有力的证据.
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