在男性良性前列腺增生症 (BPH) 中,症症状,水平和下尿道症状之间的相互关系:一项横截面研究
Rishikant Gyani1, Apul Goel1, Satyanarayan Sankhwar2
1Urology, King George's Medical University, Lucknow, IND.
Cureus
|August 27, 2025
概括
患有良性前列腺增生症 (BPH) 的男性通常会出现断症状和较低的水平,这与下泌尿道症状 (LUTS) 的严重程度相关. 综合评估对于管理这些相互关联的条件至关重要.
科学领域:
- 尿道病学
- 雄性学
- 内分泌学
背景情况:
- 良性前列腺增生 (BPH) 在老年男性中很常见.
- 在老年男性中,缺血症的症状和水平的下降也很普遍.
- 需要进一步研究BPH,止和水平之间的关系.
研究的目的:
- 为了确定BPH症状的男性的发症状的发生率.
- 评估这个患者群体的水平.
- 探索断症状,水平和下泌尿道症状 (LUTS) 的严重程度之间的相关性.
主要方法:
- 参与研究的是183名50岁以上的男性患者,患有BPH诱导的LUTS.
- 通过男性形症状自我评估问卷 (MASSQ) 评估形症状.
- 通过化学发光免疫检测测测量的水平;使用IPSS和IIEF-15得分的LUTS和勃起功能.
主要成果:
- 观察到中度至重度断症状的高患病率 (平均得分为57. 24±12. 62).
- 发现LUTS严重程度与断期症状得分之间存在显著的正相关性 (p < 0. 001).
- 与轻微的LUTS (285. 94对544. 09 ng/ dL) 相比,较低的水平与严重的LUTS有关. 糖尿病和高血压等并发症加剧了LUTS和勃起功能障碍.
结论:
- 在BPH的男性中,缺血症的症状非常普遍.
- 降低水平与LUTS严重程度的增加有关.
- 建议对BPH的老年男性进行综合治疗,以解决荷尔蒙状况和尿路健康问题.
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