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Kevin McVary¹, Bronwyn Long¹, Amandip Cheema¹

¹Center for Male Health, Department of Urology, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USA.

International urology and nephrology

|July 30, 2025

概括

在BPH/LUTS治疗中,Rezum和Urolift显示了类似的短期并发症. 然而,与Urolift相比,Rezum的长期并发症率和严重程度负担在五年内明显较低.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
良性前列腺增生症 (BPH) 管理

背景情况:

良性前列腺增生 (BPH) 和下泌尿道症状 (LUTS) 影响着老年男性人口的很大一部分.
像Rezum和Urolift这样的微创手术疗法 (MIST) 为传统治疗提供了替代方案.
对并发症概况的标准化比较对于明智的临床决策至关重要.

研究的目的:

为了比较Rezum和Urolift的短期和长期并发症概况.
为了评估并发症的严重程度,使用协奏曲严重程度分级系统.
为了评估两种手术的加权术后发病率指数 (PMI).

主要方法:

从Rezum和Urolift的关键随机试验中分析已公布的数据.
泌尿科医生对并发症严重程度的独立分级.
评估短期 (3个月) 和长期 (5年) 的并发症率.
计算权重的PMI和蒙特卡洛模拟用于不确定性分析.

主要成果:

短期PMI值是可以比较的:Rezum (0.091) 和Urolift (0.092).
常见的短期并发症包括失尿症,出血症,疼痛和尿急症.
在5年内,Rezum的累积并发症率为15.4%,而Urolift的累积并发症率为33.6%.
与Urolift (0.165) 相比,Rezum的5年PMI显着较低 (0.055),这表明Urolift的长期负担是Urolift的三倍.

结论:

在Rezum和Urolift的长期并发症概况中存在显著差异.
在并发症发生率和严重程度方面,Rezum表现出更有利的长期安全概况.
这些发现可以指导临床选择用于BPH/LUTS治疗的MIST.

关键词:

协和琴 - 协和琴是一种协和琴.这是一种BPH.路特斯 (Luts) 是一个前列腺尿道提升是前列腺尿道提升.这是Rezum Rezum的意思.在Urolift中使用Urolift.

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