欧洲泌尿病学协会关于阴茎尺寸异常和异形恐惧症的指南:2023年指南的摘要
Marco Falcone1, Carlo Bettocchi2, Joana Carvalho3
1Department of Urology, Molinette Hospital, A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
European urology focus
|September 14, 2023
概括
新的欧洲指导方针提供了一个结构化的方法来管理阴茎大小问题和失态恐惧症. 这些建议强调为寻求阴茎增生的患者提供个性化的诊断和治疗途径.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性健康 性的健康
- 生殖健康 生殖健康
背景情况:
- 阴茎尺寸异常和异形恐惧症需要明确的临床管理指南.
- 基于证据的建议对于指导该领域的临床实践至关重要.
研究的目的:
- 总结2023年欧洲泌尿病学会 (EAU) 的性和生殖健康指南.
- 为管理阴茎尺寸异常和失态恐惧症提供基于证据的建议.
主要方法:
- 对所有指导方针领域进行了全面的范围评估.
- 搜索的数据库包括Medline,EMBASE和Cochrane图书馆.
- 根据截至2022年6月1日的确定的证据,分配了证据水平和建议强度.
主要成果:
- 使用标准化PROMS进行的高质量研究缺乏关于阴茎尺寸异常和异形恐惧症的研究.
- 需要对短阴茎/小阴茎有一个共同的定义.
- 根据病因分类 (先天性,获得性,失态性) 是必不可少的.
- 详细的病史,心理性评估和精确的测量是关键的诊断步骤.
- 寻求增强的正常体型患者需要心理评估.
- 对于长度/围增强,存在各种治疗方法,需要个性化计划.
- 内分泌疗法只有在青春期前才有效.
- 真空治疗的证据有限;阴茎引疗法显示可接受的结果.
- 手术技术的证据有限,需要广泛的咨询.
结论:
- 管理阴茎异常和失态恐惧症是复杂而道德上敏感的.
- 在指南中概述的结构化的诊断和治疗途径对于有效的管理至关重要.
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