与良性前列腺增生 (BPH) 相关的下尿道症状的管理:AUA指南2023年修正案
Jaspreet S Sandhu1, Brooke R Bixler2, Philipp Dahm3
1Urology, Memorial Sloan Kettering Cancer Center, New York, New York.
The Journal of urology
|September 14, 2023
概括
这份更新的指导方针提供了基于证据的男性下泌尿道症状 (LUTS) 基于良性前列腺增生 (BPH) 的管理. 它结合了新的治疗方法,并完善了改善患者护理的现有建议.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 基于证据的医学是基于证据的医学.
背景情况:
- 良性前列腺增生症 (BPH) 通常会导致男性下尿路症状 (LUTS).
- 有效的管理策略对于改善患者的生活质量至关重要.
研究的目的:
- 为管理男性LUTS/BPH提供最新的,基于证据的参考资料.
- 将最近的进展纳入并完善现有的治疗建议.
主要方法:
- 在包括MEDLINE和Cochrane图书馆在内的数据库中进行系统的文献搜索.
- 对2020年9月至2022年10月发表的文献进行证据审查.
- 强度等级 (A,B,C) 分配给支持推的证据.
主要成果:
- 关于组合疗法,光选择性蒸发 (PVP),水蒸气热疗法 (WVTT),激光核化和前列腺动脉栓塞 (PAE) 的最新陈述.
- 关于临时植入前列腺器械 (TIPD) 的新指南.
- 遗留的治疗 (TUNA, TUMT) 信息被移到后台.
结论:
- 该指南旨在加强临床医生对BPH/LUTS的评估和治疗.
- 需要进一步的研究来支持和完善治疗陈述,以获得最佳的患者结果.
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