通过尿道接入进行LUTS/BPH手术的黑暗面:叙述性回顾
Bruno Bucca1, Christian Gozzi2, Luca Matteo Gobbi1
1Department of Urology, Sapienza University of Rome, Policlinico Umberto I Hospital, Rome 00161, Italy.
Asian journal of andrology
|June 20, 2025
概括
良性前列腺增生 (BPH) 的尿道外科手术存在重大风险,包括收缩和失禁. 最少侵入性技术和替代性接入途径对于改善患者的治疗结果至关重要.
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
- 泌尿生殖器官重建外科手术
背景情况:
- 通过尿道切除前列腺 (TURP) 是良性前列腺增生 (BPH) 手术的标准.
- 新的技术和能源挑战了TURP的统治地位.
- 过尿道的方法带有重大,往往被低估的风险.
研究的目的:
- 批判性地审查BPH的穿尿管外科手术的具体陷.
- 突出并发症,并讨论缓解策略.
- 探索BPH治疗的其他途径.
主要方法:
- 对BPH进行过尿道外科手术技术的叙述性综述.
- 分析常见的并发症及其潜在原因.
- 讨论最近的技术进步和未来的战略.
主要成果:
- 关键的并发症包括尿道狭窄,失禁,重新干预和持续的下尿道症状 (LUTS).
- 尽管技术进步,但这些问题仍然具有挑战性.
- 微型仪器,有意识的能源使用和节省关节的技术改善了结果.
结论:
- 通过尿道进行的BPH手术具有固有的风险,需要谨慎管理.
- 进步的目标是采取一种更尊重解剖学的方法.
- 内镜穿式上接入可能为减少并发症提供未来的替代方案.
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
42
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
42
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
407
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
407