肠道疾病是否会影响荷尔激光切除前列腺的结果? 一个回顾性队列研究
Kyle Tsai1, Perry Xu2, Jenny Guo2
1Department of Urology, Northwestern University Feinberg School of Medicine, 676 N. St. Clair, Suite 2300, Chicago, IL 60611, USA.
Therapeutic advances in urology
|February 14, 2025
概括
经过Holmium激光前列腺核切除术 (HoLEP) 的刺激性肠综合征 (IBS) 患者经历了更多症状的术后过程. 这包括增加抗胆固醇药物的使用和更多的提供者访问与没有IBS的人相比,但不是那些患有炎症性肠病 (IBD) 的人.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
背景情况:
- 良性前列腺增生症 (BPH) 显著影响下泌尿道症状.
- 前列腺的霍尔激光取核 (HoLEP) 是一种有效的BPH治疗方法.
- 同时存在的胃肠道疾病对HoLEP结果的影响还不清楚.
研究的目的:
- 为了评估患有刺激性肠综合征 (IBS) 或炎症性肠病 (IBD) 的患者在BPH的HoLEP后的术后结果.
- 为了比较IBS/IBD诊断的和没有IBS/IBD诊断的患者之间的结果.
主要方法:
- 由单个外科医生进行HoLEP的918名患者的回顾性审查 (2021年1月至2023年8月).
- 与IBS/IBD患者和没有患者之间的手术前,手术内和手术后特征的比较.
- 统计分析使用奇平方和配对t测试.
主要成果:
- 2.6%的患者患有IBS,3.9%患有IBD.
- IBS+IBD队列的前列腺较小,手术时间较短.
- 3个月后,IBS患者的抗胆固醇疗法和术后接触率较高.
- 两组之间在AUASS,MISI得分,当天出院或并发症率上没有显著差异.
结论:
- 接受HoLEP治疗的IBS患者可能会经历更多症状的术后疗程,需要增加抗胆固醇药物和提供者相互作用.
- 在IBD患者中没有观察到这些特定趋势.
- 需要进一步的研究来了解IBS对HoLEP恢复的影响.
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