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适应性与HoLEP:功能结果和射精保存的倾向性得分匹配分析

Kyung Tak Oh¹, Jang Hwan Kim²

¹Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

Investigative and clinical urology

|September 2, 2025

概括

水和前列腺激光除核 (HoLEP) 有效治疗良性前列腺增生 (BPH). 水可以更好地保护射精,而HoLEP提供更高的流量和PSA改善,指导以患者为中心的护理.

科学领域:

尿道病学
最少的入侵性手术
男人的健康

背景情况:

良性前列腺增生 (BPH) 显著影响下泌尿道症状和生活质量.
手术对治疗BPH至关重要,其中水化和前列腺激光除核 (HoLEP) 是主要的选择.

研究的目的:

在BPH治疗中比较Aquablation和HoLEP的临床结果.
重点是功能改善,射精保存和外科安全.

主要方法:

从2023年1月到2024年3月对104名患者 (34个匹配对) 的回顾性分析.
根据年龄,前列腺体体积和PSA进行倾向性匹配.
评估国际前列腺症状评分,Qmax,PVR,PSA和MSHQ-EjD的射精功能.

主要成果:

无论是Aquablation还是HoLEP,都改善了LUTS,症状得分变化或PVR没有显著差异.
在最大流量 (Qmax) 和PSA (p=0.011,p<0.001) 中,HoLEP显示出较大的改善.
排卵显示出明显更好的射精保存 (p=0.002),并发症的发生率相似.

结论:

这两种疗法是有效的.
对于性活跃的患者来说,
HoLEP具有卓越的解阻力效果 (Qmax,PSA),支持个性化治疗决策.

关键词:

准备时间良性前列腺增生通过尿道切除前列腺

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