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基于前列腺大小的Rezūm治疗结果的比较分析:四年后期分析

Mohamed Samir¹, Mahmoud Ahmed Mahmoud², Hossam Abdelsamie Abdelmonem³

¹Department of Urology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. m.samir-84@hotmail.com.

World journal of urology

|July 17, 2025

概括

雷祖治疗对小前列腺和大前列腺是安全有效的,在四年内显示持续的益处. 较大的前列腺可能需要更频繁地重新治疗.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的治疗方法
男人的健康男人的健康

背景情况:

良性前列腺增生症 (BPH) 影响着相当一部分老年男性.
通过尿道切除前列腺 (TURP) 是一种常见的BPH治疗方法,但存在风险.
补充疗法为BPH管理提供了一种最小侵入性的替代方案.

研究的目的:

评估Rezūm治疗的长期安全性和疗效.
为了比较小前列腺和大前列腺患者的结果.
评估Rezūm在四年内对尿路症状,尿流和性功能的影响.

主要方法:

对接受Rezūm治疗的170名患者进行了回顾性研究.
患者分为小 (<80gm) 和大 (80-120gm) 前列腺组.
综合性术前和术后评估,最长可达48个月.

主要成果:

在两组中,Rezūm疗法显著改善了前列腺特异性抗原 (PSA),空虚后残留量 (PVR),最大尿液流速 (Qmax),国际前列腺症状评分 (IPSS),生活质量 (QoL) 和国际勃起功能指数 (IIEF).
更大的前列腺需要更多的蒸汽注射和更长的手术/导管时间.
整体并发症没有显著差异,但在大型前列腺组中观察到更高的再治疗率 (15.2%).

结论:

补充疗法在小前列腺和大前列腺治疗中提供了持续的安全性和有效性.
虽然有效,但患有更大的前列腺的患者可能需要更多的重新治疗.
补充疗法是男性寻求BPH缓解的可行选择,具有最小的侵入性.

关键词:

这是一种BPH.大型前列腺扩大现在我们可以重复.小的前列腺小的前列腺.

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