[良性前列腺增生症的最少侵入性治疗:德国S2e指南2023-第4部分]
Johannes Salem1,2, Klaus F Becher3, Thomas Bschleipfer4
1CUROS urologisches Zentrum, Klinik LINKS VOM RHEIN, Schillingsrotterstr. 39-41, 50996, Köln, Deutschland. johannes.salem@links-vom-rhein.de.
最少侵入性疗法为由于良性前列腺阻塞 (LUTS/BPO) 而导致下尿路症状的男性提供了新的治疗选择. 虽然这些疗法对特定患者有效,但它们的效果和可持续性不如传统的手术方法.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 手术技巧 手术技巧
背景情况:
- 低尿路症状暗示良性前列腺阻塞 (LUTS/BPO) 显著影响男性的生活质量.
- 仪器疗法是常见的,对最小侵入性治疗选择的需求越来越大.
研究的目的:
- 介绍和评估良性前列腺综合征 (BPS) 的最小侵入性疗法.
- 提供基于证据的关于LUTS/BPO的新治疗方式的概述.
主要方法:
- 该研究总结和审查了德国S2e指南关于LUTS/BPO的最小侵入性治疗的第11-13章.
- 专注于针对新型治疗方法的基于证据的建议.
主要成果:
- 像UroLift®,RezmTM,iTINDTM和前列腺动脉栓塞 (PAE) 这样的最小侵入性治疗在手术或失败的医疗治疗后是可行的选择.
- 这些疗法提供较低的发病率,可以在局部麻醉下进行.
- 然而,它们的效果和可持续性不如直接的废除/回收技术.
结论:
- 更新的德国S2e指南为LUTS/BPO提供了基于证据的建议,用于新的最小侵入性疗法.
- 这些疗法代表了对精心挑选的患者的替代治疗选择.
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