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[经过修改的前列腺霍尔激光疏核对老年患有良性前列腺增生症的老年患者手术后尿路控制和性功能的影响]

Jia-Wei Lu¹, Hui-Dong Miao¹, Feng Shen¹

¹Department of Urology, Zhangjiagang Hospital Affiliated to Suzhou University, Suzhou, Jiangsu 215600, China .

Zhonghua nan ke xue = National journal of andrology

|April 11, 2024

概括

在前列腺的holmium激光取核 (HoLEP) 手术期间保留尿道粘膜可以改善尿路控制和性功能. 这种修改后的HoLEP技术提供了更好的生活质量,并减少了手术后的失禁.

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.
男人的健康男人健康

背景情况:

良性前列腺增生症 (BPH) 影响着老年男性人口的很大一部分.
前列腺的霍尔激光取核 (HoLEP) 是一种有效的BPH治疗方法.
手术后的尿路控制和性功能是接受HoLEP治疗的BPH患者的关键问题.

研究的目的:

评估在HoLEP期间保护尿道粘膜对功能结果的影响.
为了比较修改和标准HoLEP之间的尿路控制,勃起功能和射精功能.

主要方法:

对接受HoLEP治疗的176名BPH患者 (2019年1月至2022年1月) 的回顾性分析.
80个改性HoLEP病例 (尿道粘膜的保存) 与96个标准HoLEP病例的比较.
收集和分析术前和术后临床数据.

主要成果:

两组患者均表现出改善的泌尿流量,症状评分和手术后的生活质量.
修改后的HoLEP显示尿失禁和逆行性射精的发生率显著降低.
勃起功能 (IIEF-5评分) 在两组中均有所改善,两组之间没有显著差异.

结论:

在HoLEP手术中保护尿道粘膜是一种可行的BPH治疗方法.
这种技术增强了手术后的尿路控制,并积极影响性功能恢复.
修改后的HoLEP为患者的治疗结果和生活质量提供了显著的优势.

关键词:

荷激光;良性前列腺增生;尿失禁;性功能.

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