尽管使用UroLift,但仍然需要持续的医疗或手术治疗:来自学术中心的数据
Rahul Dutta1, Ethan L Matz1, Nicholas A Deebel1
1Department of Urology, Atrium Health Wake Forest Baptist, NC, United States.
概括
大多数为良性前列腺激增症 (BPH) 进行前列腺尿道提升 (PUL) 的男性需要额外的医疗或手术治疗. 为患者提供关于PUL作为单一疗法的长期有效性的咨询是必不可少的.
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.
- 男人的健康 男人的健康
背景情况:
- 前列腺尿道提升 (PUL) 是一种常见的手术治疗良性前列腺增生症 (BPH),导致下泌尿道症状 (LUTS).
- 之前的数据显示,在PUL后5年,再处理率为13.6%.
- 本研究评估了在PUL后持续BPH管理的需要.
研究的目的:
- 确定在经历PUL后需要继续医疗或外科治疗BPH的患者比例.
- 评估与PUL相关的长期结果和再治疗率.
主要方法:
- 在2015-2020年期间在一个学术机构接受PUL的209名患者的回顾性审查.
- 分析PUL后的BPH管理策略,包括药物治疗和重复手术.
- 在30天内评估并发症,症状得分 (IPSS,QoL) 和再入院率.
主要成果:
- 在198名随访患者中,44%的患者继续或开始接受药物治疗 (α阻断剂,5α减小酶抑制剂).
- 20%的BPH需要重复手术,平均在PUL后19.2个月.
- 总体而言,53%的男性需要进一步的医疗和/或手术治疗,无论基线特征如何.
结论:
- 大多数用PUL治疗BPH的男性需要持续的医疗或手术干预.
- 对所有BPH患者来说,PUL可能不是一个足够的长期独立疗法.
- 有关可能需要进一步治疗的患者咨询至关重要.
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