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Disorders of the Male Reproductive System01:20

Disorders of the Male Reproductive System

404
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
404

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Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
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在BPH手术后持续下尿道症状

Joshua Heiman1, William M Snead2, John Michael DiBianco3

  • 1Department of Urology, Indiana University, Indianapolis, IN, USA. joheiman@iu.edu.

Current urology reports
|April 5, 2024
PubMed
概括

在良性前列腺增生 (BPH) 手术后管理持续的下尿路症状 (LUTS) 需要以患者为中心的方法. 本综述概述了在内镜膀出口手术后处理新的或残留的LUTS的策略.

科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 手术管理的手术管理.
  • 患者的治疗结果.

背景情况:

  • 良性前列腺增生症 (BPH) 管理通常涉及手术以缓解下泌尿道症状 (LUTS).
  • 一部分患者在干预后出现持续性或新的LUTS,这对临床构成挑战.
  • 对BPH的最小侵入性手术疗法 (MIST) 在术后症状管理中引入了复杂性.

研究的目的:

  • 审查BPH的内镜膀外出手术后新发或持续的LUTS患者的管理.
  • 根据症状类型和最佳护理时间来表征患者组.
  • 为持续性LUTSBPH后手术的治疗和治疗提供指导.

主要方法:

  • 在BPH手术后对LUTS的管理进行文献综述.
  • 根据刺激性和阻塞性症状,将患者分为不同的组.
  • 分析短期与长期症状的分析.

主要成果:

  • 传统的BPH治疗侧重于最大限度地去除组织,有时会导致副作用.
  • 新的MIST方法战略性地治疗腺瘤组织,影响术后症状概况.
  • 有有限的文献指导了手术后持续性LUTS的最佳管理.
关键词:
良性前列腺增生症 良性前列腺增生症前列腺的霍尔激光去核.最少侵入性的外科治疗方法.经常出现的下泌尿道症状

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结论:

  • 以患者为中心的方法与共享决策对于优化结果至关重要.
  • 根据症状类型和时间对患者进行分类有助于有效管理.
  • 持续性LUTS的有效管理可以改善患者的生活质量.