对男性非神经性LUTS的TURP,HoLEP和RFA进行比较
Turgay Ebiloğlu1, Özgür Çinar1, Selçuk Sarikaya1
1Department of Urology, Gülhane Training and Research Hospital, Ankara, Turkiye.
Turkish journal of medical sciences
|May 9, 2025
概括
通过尿道切除前列腺 (TURP) 和前列腺的holmium激光取核 (HoLEP) 为男性下泌尿道症状 (LUTS) 提供了类似的症状缓解. 射频除 (RFA) 显示出对年龄较大的患者具有较低的失禁率的潜力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技巧 手术技巧
- 男人的健康 男人的健康
背景情况:
- 通过尿道切除前列腺 (TURP) 是治疗非神经性男性下泌尿道症状 (LUTS) 的既定治疗方法.
- 新兴的外科手术技术需要对 TURP 黄金标准进行比较研究.
研究的目的:
- 为了比较TURP的疗效和结果,前列腺的holmium激光取核 (HoLEP) 和射频切除 (RFA) 在患有LUTS的男性中.
主要方法:
- 患者被分为三个组:TURP (G1),HoLEP (G2) 和RFA (G3).
- 术前和术后的结果在1,12,24和36个月后进行评估.
主要成果:
- 国际前列腺症状评分 (IPSS) 的减少在TURP和HoLEP之间是可比的,但在RFA中不那么显著.
- 在36个月后,生活质量改善有利于TURP而不是HoLEP和RFA.
- 霍勒普的失禁率最高,而RFA的失禁率最低.
- 国际勃起功能指数 (IIEF-5) 评分在 TURP 后得到改善.
结论:
- TURP和HoLEP提供了类似的IPSS改善,但HoLEP与更高的失禁率有关.
- RFA提供了最小的IPSS改善,但由于失禁率低,适合老年患者.
- 评估的任何一种程序都没有显著改善过度活跃膀问卷 (OAB-V8) 的得分.
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