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简化手术方法用于同时存在的尿道狭窄和良性前列腺扩大:可行性,安全性和通透性结果
Jordán Scherñuk1, Juan Diego Tinajero2, Federico Tirapegui2,3
1Genitourinary Reconstructive Surgery Division, Department of Urology, Hospital Italiano de Buenos Aires, Pres. Tte. Gral. Juan Domingo Perón 4190, C1199 ABH, Buenos Aires, Argentina. jordan.schernuk@hospitalitaliano.org.ar.
World journal of urology
|October 25, 2024
概括
尿道狭窄和良性前列腺扩大同时进行手术在技术上是可行的和安全的. 这种综合方法不会对选定患者的尿路整形结果产生负面影响.
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.
- 重建性手术是一种重建性手术.
背景情况:
- 尿道狭窄和良性前列腺扩大 (BPE) 是老年男性常见的疾病.
- 治疗这两种疾病往往需要单独的手术干预,增加患者负担和医疗费用.
- 同时进行手术的方法可以提供更有效的治疗模式.
研究的目的:
- 评估结合尿路整形和内镜BPE手术的技术可行性,安全性和通透性.
- 确定这种同步方法是否会影响尿路整形的结果.
- 在高度精选的患者队列中评估这一策略.
主要方法:
- 对同时接受尿路造形术和内镜前列腺手术的成年男性的回顾性审查 (2017年5月-2024年5月).
- 纳入标准:狭窄症<15 法国,前列腺对医疗管理反应不佳.
- 主要结果:技术可行性和安全性;次要结果:无缩的生存.
主要成果:
- 20名男性接受了治疗;中位狭窄长度为3.0厘米,中位前列腺大小为95.0厘米.
- 所有手术在技术上都是成功的,没有转换为分阶段或开放式手术.
- 发生了七个Clavien-Dindo I-II并发症和一个IIIb并发症 (出血症). 在22个月的随访期间进行了两次尿道收缩.
结论:
- 同时进行尿路整形和内镜BPE手术在技术上是可行的和安全的.
- 这种综合方法在精心挑选的患者中不会影响中期尿道通透性.
- 这一策略为患有这两种疾病的男性提供了潜在的更有效的治疗方法.
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