在去除膀结石时是否真的需要治疗膀出口: 无需同时进行BPO手术去除膀结石的结果
Ziv Savin1, Linda Dayan Rahmani1, Eve Frangopoulos1
1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of endourology
|November 26, 2024
概括
对于患有良性前列腺阻塞 (BPO) 的男性来说,单独移除膀石通常就足够了,许多人避免了进一步的手术. 然而,大前列腺和高的空白后残留体积可能预测未来的BPO手术需求.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 男人的健康 男人的健康
背景情况:
- 良性前列腺阻塞 (BPO) 手术传统上是用膀结石去除进行的.
- 最近的证据质疑了同时进行BPO手术的必要性.
- 本研究评估了无需同时进行BPO干预的膀结石去除的结果.
研究的目的:
- 评估无需同时进行BPO手术的膀结石切除的长期疗效.
- 确定预测未来BPO手术需要的因素.
- 分析BPO相关的并发症和医疗管理负担.
主要方法:
- 63名BPO男性患者进行膀结石切除的回顾性分析 (2017-2024年).
- 主要终点:BPO无手术生存率.
- 二级终点:并发症,药物使用,空白后残留 (PVR).
- 统计分析:卡普兰-梅尔,ROC曲线,考克斯回归.
主要成果:
- 22%的患者在随访期间 (中位数为34个月) 需要随后的BPO手术.
- 一年,3年和5年的BPO无手术生存率分别为90%,78%和78%.
- 前列腺体积>100cc和PVR>93mL显著预测了未来的BPO手术.
- 94%的人用药物治疗BPO; 57%的人经历了不良结果.
结论:
- 无需BPO手术的膀结石切除提供了良好的中期结果,以避免进一步的手术.
- 患者的选择至关重要;前列腺体积和PVR是关键预测因素.
- 管理策略应解决与BPO相关的潜在风险.
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