对良性前列腺增生症的水蒸气热疗法的最小方法:更少是更多吗?
Vi Nguyen1, Clara Cerrato2, Mimi V Nguyen3
1Department of Urology, UC San Diego Health, San Diego, CA.
Urology
|April 5, 2025
概括
对良性前列腺激增症的水蒸气热疗法 (WVTT) 的最小方法可以减少并发症. 这种技术提供了与更密集的治疗方法相比的症状缓解和再治疗率.
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
- 良性前列腺增生症管理管理
背景情况:
- 良性前列腺增生症 (BPH) 影响了大量的老年男性.
- 水蒸气热疗法 (WVTT) 是BPH的最小侵入性治疗选择.
- 优化WVTT协议对于改善患者的治疗结果至关重要.
研究的目的:
- 为了评估最小的WVTT方法 (每叶1次治疗) 的术后结果.
- 为了比较最小的WVTT方法与非最小的方法 (每叶≥2次治疗).
- 为了确定术后并发症和症状的危险因素.
主要方法:
- 146名接受WVTT (2018-2022) 的患者的回顾性审查.
- 倾向性得分匹配创建了两个组:最小的 (1/叶) 和非最小的 (≥2/叶).
- 主要结局包括并发症和储存症状;次要结局分析了国际前列腺症状评分 (IPSS),尿液流量计和再治疗率.
主要成果:
- 非最小小组的de-novo保留率和尿路感染率更高.
- 增加治疗次数和中叶治疗是存储症状的危险因素.
- 手术后的IPSS,尿液流量计和2年后的再治疗率在各组之间是相似的.
结论:
- 最少的WVTT方法与手术后并发症的减少有关.
- 在症状改善和再治疗率方面观察到可比的疗效.
- 为了获得长期WVTT结果,需要进行进一步的研究.
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