对于下泌尿道症状 (LUTS) 的最小侵入性外科治疗 (MIST):有前途还是万能药?
Gian Maria Busetto1,2, Andrea Checchia1,2,3, Marco Recchia1,2,3
1University of Foggia, Foggia 71122, Italy.
Asian journal of andrology
|November 3, 2023
概括
最少侵入性外科治疗 (MIST) 为治疗下泌尿道症状 (LUTS) 提供了新的选择,同时保持性功能. 然而,这些有前途的治疗方法需要更多的研究,才能成为良性前列腺增生症 (BPH) 的标准护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 男人的健康 男人的健康
背景情况:
- 下尿道症状 (LUTS) 管理正在发展,重点是保护性功能,尽量减少副作用.
- 欧洲泌尿病学协会的指导方针表明,人们正在转向管理非神经性男性LUTS.
- 良性前列腺增生症 (BPH) 治疗越来越多地考虑微创手术疗法 (MISTs).
研究的目的:
- 审查用于非神经性男性LUTS的常用MIST的疗效和安全性.
- 为了评估既可消耗性和不可消耗性MIST选项.
- 提供对LUTS新兴治疗方法的概述.
主要方法:
- 关于MISTs的当前文献的综述.
- 除技术的评估:水除,前列腺动脉栓塞,水蒸气能量,跨前列腺激光切除.
- 评估非排泄性技术:前列腺尿道提升,暂时植入的尼醇装置 (iTIND).
主要成果:
- 在LUTS治疗中,MISTs是一个有前途的进步.
- 大多数MIST仍在调查中,长期临床试验数据有限.
- 目前只推一些MIST,它们并不普遍适用或被认为是标准护理.
结论:
- MIST显示了有效的LUTS治疗的潜力,副作用较少.
- 需要进一步的长期研究来确定MIST作为标准护理.
- 患者选择和了解每个MIST的风险和益处对于最佳结果至关重要.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
8
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
8
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
14
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
14
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
37
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
37
Urologic Endoscopic Procedure: Cystoscopic Examination
27
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
27
Urinary Tract Calculi V: Nursing Management
12
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
12
Inflammatory Bowel Disease V: Surgical Management
149
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
149


