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前列腺大小及其对下泌尿道症状/良性前列腺增生的影响随着对流式水蒸气热疗法后的改善

Owen Lewer¹, Michael D Felice², Olivia Copelan²

¹Loyola University Stritch School of Medicine, Maywood, Illinois.

The Journal of urology

|March 5, 2025

概括

电流水蒸气热疗法 (CWVTT) 有效地治疗所有前列腺体积的良性前列腺增生 (BPH) 导致的下尿道症状 (LUTS). 中型和大型前列腺可能会看到更快的症状改善与CWVTT.

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
治疗BPH的方法

背景情况:

下泌尿道症状 (LUTS) 对患有良性前列腺增生症 (BPH) 的男性的生活质量产生重大影响.
电流式水蒸气热疗法 (CWVTT; Rezūm) 是对LUTS/BPH的最小侵入性手术选择.
现有的关于全前列腺体积 (PV) 谱的CWVTT结果的数据是有限的.

研究的目的:

为了研究前列腺体积 (PV) 和CWVTT治疗结果之间的关系,在患有LUTS/BPH的男性中.
分析国际前列腺症状评分 (IPSS) 基于CWVTT后的PV三角形的变化.

主要方法:

分析了一组171名在三级医疗中心接受CWVTT的患者.
患者被分为小型 (≤38.5cc),中型 (38.5-55.6cc) 和大型 (>55.6cc) 的PV三层.
主要结果:IPSS从基线变化到3个月;次要结果:IPSS下降25%的时间.

主要成果:

在3个月后,在所有PV第三种动物中观察到显著的IPSS改善 (p < .001).
与小型光伏三角形相比,中型光伏三角形的IPSS下降率显著增加,达到25% (HR 2.10; p = .011).
糖尿病与治疗后IPSS增加有关 (p = .037).

结论:

在所有前列腺体积上,CWVTT提供了显著而持久的LUTS改善.
虽然所有PV都受益,但中型和大型前列腺可能会更快地缓解症状.
无论前列腺大小如何,CWVTT是LUTS/BPH的有效治疗选择.

关键词:

现在我们可以重复.良性前列腺增生症 (BPH) 是一种通过对流式水蒸气疗法治疗.勃起功能勃起功能的功能下泌尿道的症状下泌尿道的症状前列腺前列腺前列腺

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