在BPH手术后夜尿的持续性:一个多中心研究
Thibaut Long Depaquit1,2,3, Christopher Aguëro4,5,6, Alessandro Uleri5,6
1Department of Urology, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France. Thibaut.long2@gmail.com.
World journal of urology
|June 20, 2025
概括
前列腺内透镜 (EEP) 为许多良性前列腺阻塞 (BPO) 的男性提供了显著的夜改善. 然而,过度活跃的膀症状可能预示着夜对EEP缺乏反应.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 下尿道症状 研究 研究 症状
背景情况:
- 夜尿是男性患有良性前列腺阻塞 (BPO) 的常见和令人痛苦的下泌尿道症状 (LUTS).
- 前列腺内镜切除 (EEP) 是BPO的一种手术选择.
- 对于EEP对夜的影响需要进一步研究.
研究的目的:
- 评估LUTS/BPO.EEP后夜的长期结果.
- 为了确定EP后持续性夜的预测因素.
主要方法:
- 在120名接受EEP的男性中进行了多中心回顾性研究.
- 用于评估夜的空白日记.
- 结果分析了缓解,改善,稳定和恶化.
主要成果:
- 在15个月的随访中位数后,45%的人实现了完全的夜缓解,19%的人实现了部分改善.
- 主要的膀过活症状是没有反应的唯一显著预测因素 (HR 1.68).
- 没有发现与年龄,BMI,前列腺体积或并发症的关联.
结论:
- 在近三分之二患有LUTS/BPO的男性中,EEP可以导致显著的夜改善.
- 在EEP之后的夜持续可能与膀过度活跃有关.
- 夜的多因素性质应在手术后考虑.
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