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4年后的水:来自最大的单中心研究的真实世界数据与相关结果的随访
Olamide O Omidele1, Alexandra S Siegal1, Reza Roshandel1
1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY.
Urology
|July 31, 2024
概括
针对良性前列腺增生症 (BPH) 的水疗疗法在4年内显示出持久的安全性和有效性. 这种机器人程序显著改善了尿路症状和尿流率,同时在大多数男性中保持了射精.
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
- 机器人手术 机器人手术
背景情况:
- 良性前列腺增生症 (BPH) 是老年男性常见的疾病.
- 症状性BPH显著影响生活质量.
- 目前用于BPH的治疗方法具有不同的疗效和并发症概况.
研究的目的:
- 评估在男性有症状的BPH.水化程序的4年安全性和有效性.
- 为了评估机器人辅助水化疗法的长期结果.
- 报告关于BPH治疗的Aquablation的真实世界数据.
主要方法:
- 未来的,单中心的,观察性研究.
- 330名中度至重度BPH的男性接受了机器人辅助水处理.
- 收集了国际前列腺症状评分 (IPSS) 的数据,峰值尿流率 (Qmax),空洞后残留量 (PVR),前期射精和4年的并发症.
主要成果:
- 在4年后,IPSS (23.8至6.9) 和Qmax (6.4至17.4毫升/秒) 的显著改善.
- 一年后平均前列腺体积减少41.3%.
- 在99.6%的男性中保留了先发性射精.
- 低并发症率:11.2%的尿路感染,3.3%的需要输血的出血,3.9%的重复治疗.
结论:
- 水化疗是一种安全有效的BPH治疗方法.
- 该程序提供持续的症状缓解和功能改善长达4年.
- 水提供了有利的安全概况,高保证了先排精的高保证.
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