在接受脏移植的人群中治疗良性前列腺激增的现有证据:系统性审查
Carlo Giulioni1, Vanessa Palantrani1, Virgilio De Stefano1
1Department of Urology, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche, Ancona, Italy.
Journal of endourology
|August 19, 2023
概括
良性前列腺增生 (BPH) 在移植 (RT) 后很常见. 手术治疗BPH可以改善移植功能和患者的存活率,但时间至关重要,以避免并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植手术 移植手术
背景情况:
- 接受移植 (RT) 的人可能会患上良性前列腺增生症 (BPH).
- BPH可能会损害移植的恢复,并需要手术干预.
- 在RT患者中,内镜BPH治疗具有术后风险.
研究的目的:
- 系统地评估影响BPH手术指示的因素.
- 在RT患者中评估BPH手术治疗的术后结果.
主要方法:
- 在Scopus,PubMed和EMBASE上进行了系统的文献搜索.
- 包括专注于临床结果的研究,不包括临床前,综述和病例报告.
- 在最终分析中包含了18篇文章.
主要成果:
- BPH在RT后非常普遍,特别是在老年男性中.
- 像尿路保留和感染等BPH并发症可以降低移植功能.
- BPH 程序可以改善功能标志物 (血清肌素),空白参数和 LUTS.
- 前列腺内镜手术可以在RT后一个月内安全地进行,如果尿液培养是负的.
结论:
- 对于有膀出口阻塞的RT接受者来说,BPH手术是适合的.
- 内镜BPH治疗应在RT后几周进行,以防止移植物恶化.
- 在特定情况下,通过尿道切割前列腺可能是保持射精功能的选择.
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