在水蒸气热疗法后对下尿道症状进行再治疗
Vi Nguyen1, Michelle C Leach1, Clara Cerrato2
1Department of Urology, UC San Diego Health, San Diego, CA.
Urology
|April 27, 2024
概括
对于良性前列腺激增的水蒸气热疗法 (WVTT) 的再治疗率很低. 需要重新治疗的男性接受了更多的注射,并且出现了更严重的排泄症状,这表明更少的注射可能会改善结果.
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
- 治疗BPH的方法
背景情况:
- 良性前列腺增生症 (BPH) 导致下泌尿道症状 (LUTS).
- 水蒸气热疗法 (WVTT) 是BPH的最小侵入性治疗方法.
- 确定WVTT后再治疗的预测因素对于优化患者的治疗结果至关重要.
研究的目的:
- 为了确定WVTT后症状复发再治疗的预测因素.
- 将需要重新治疗的患者与不需要再治疗的患者进行比较.
主要方法:
- 在2017年8月至2022年2月期间,对192名接受WVTT治疗的患者进行了回顾性评估.
- 将在2年内接受再治疗的患者与未接受再治疗的队列进行比较.
- 多变量分析以确定重新治疗的独立预测因素.
主要成果:
- 只有5% (10名患者) 需要重新治疗.
- 重新治疗的患者最初的前列腺体积较小,并接受了更多的WVTT注射.
- 在再治疗组中,国际前列腺症状评分 (IPSS) 和6个月后空白子评分的恶化.
- 每叶接受>1次治疗是重新治疗的独立预测因子 (HR 8.509,P=.039).
结论:
- WVTT显示BPH的再治疗率很低.
- 增加注射量和特定的症状模式可能表明需要重新治疗.
- 优化每个叶片的WVTT注射次数可能会降低重新治疗率.
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