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在成年人中治疗获得的前列腺
Radion Garaz1, Cristian Mirvald2,3, Bastian Amend4
1Department of Urology, University Hospital Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany. radion.garaz@med.uni-tuebingen.de.
International urology and nephrology
|June 27, 2024
概括
获得前列腺 (PF) 是一种罕见的疾病,通过症状和成像诊断. 手术修复的成功率很高,多学科的方法可以帮助复杂的病例.
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.
背景情况:
- 获得的前列腺 (PF) 被定义为涉及前列腺尿道的异常连接.
- 这种情况可以连接到直肠,前列腺周围区域或其他盆腔结构.
研究的目的:
- 报告获得的前列腺 (PF) 的临床经验.
- 这包括详细介绍,诊断方法和治疗结果.
主要方法:
- 来自两个泌尿大学医院 (2014年1月 - 2024年2月) 的前性维护数据库的回顾性分析.
- 纳入标准:患有获得的前列腺炎的男性 (不包括前列腺切除术后的病例).
- 诊断涉及症状评估 (肺炎,便,等等). 图像检查 (CT,MRI,逆行尿路图),并补充了囊镜和直显微镜.
主要成果:
- 13名患者 (平均年龄为66.5岁) 被确定为获得的PF.
- 常见的症状包括便尿/肺炎 (54%),直肠尿泄漏 (31%) 和复发性尿道感染 (31%).
- 第一次尝试后,成功关闭率为77%,第二次尝试后为92%.
结论:
- 早期的临床怀疑和彻底的诊断对于有效的前列腺管 (PF) 管理至关重要.
- 基于病因和严重程度的多学科方法和个性化治疗改善了治疗结果,并促进了关闭.
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