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评估微观,性功能和内镜检查结果一年后的Aquablation:一个单一中心前性研究
Daniele Amparore1, Sabrina De Cillis2, Alberto Quara2
1Division of Urology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy. daniele.amparore@unito.it.
World journal of urology
|December 9, 2024
概括
水有效地治疗尿路症状,并显著改善尿流率和症状得分. 手术后的评估证实了它的安全性和有效性,保护了性功能和解剖完整性.
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
- 前列腺健康 前列腺健康
背景情况:
- 在Aquablation之后的前列腺尿道和膀的形态变化没有得到充分的记录.
- 了解这些变化对于评估治疗的整体安全性和有效性至关重要.
研究的目的:
- 评估Aquablation治疗良性前列腺增生 (BPH) 术后长达一年的安全性和疗效.
- 评估功能和内镜结果,包括前列腺尿道和膀腔的形态变化.
主要方法:
- 对109名患有BPH (前列腺体积40-80毫升,Qmax≤12毫升/秒) 的患者进行前性研究.
- 在1,3,6和12个月评估的功能结果 (Qmax,IPSS,IPSS-QoL).
- 3个月后的囊镜评估了切除质量,腔体长度,组织保存和潜在的损伤.
主要成果:
- 一年后观察到Qmax (+103.08%),IPSS (-86.36%) 和IPSS-QoL (-80.00%) 的显著改善.
- 水没有对勃起功能或禁欲产生负面影响,在96.3%的患者中保持了射精.
- 在囊镜检查中,前列腺尿道通透度 (96.2%) 和解剖结构保存良好.
结论:
- 水是BPH症状的有效治疗方法,持续功能改善长达一年.
- 三个月后的内镜评估证实了Aquablation的安全性和有效性,并与计划中的废除参数保持一致.
- 该程序对射精的影响最小,并保留关键的解剖结构,有助于整体的患者满意度.
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