男人下尿道症状:一个综述
John T Wei1, Casey A Dauw1, Casey N Brodsky1
1Department of Urology, University of Michigan, Ann Arbor.
JAMA
|July 14, 2025
概括
许多老年男性患上下尿道症状 (LUTS),通常是由于良性前列腺增生 (BPH). 治疗范围从改变行为和药物到手术,改善生活质量.
科学领域:
- 尿道病学
- 男人的健康
- 老年病学
背景情况:
- 在50岁以上的男性中,下尿道症状 (LUTS) 影响高达40%.
- 症状包括尿急,夜尿,尿流弱,影响生活质量.
- 可以导致严重的并发症,如尿路滞留和功能不全.
研究的目的:
- 审查男性LUTS的原因和治疗方法.
- 讨论各种治疗方法的有效性.
主要方法:
- 关于LUTS管理的当前文献的审查.
- 对行为疗法,药物和手术的分析.
主要成果:
- 行为疗法 (盆地PT,定时排泄) 提供症状改善.
- 像α阻断剂,5-ARI和PDE5抑制剂这样的药物可以改善LUTS,组合治疗更有效.
- 手术选择,包括TURP和微创手术,对于耐火病例有效,并发症率各不相同.
结论:
- 主要是由BPH或膀过活引起的.
- 第一线治疗包括行为和药物治疗.
- 对于复杂或持续的症状, 手术提供了有效的解决方案.
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