慢性前列腺炎症和过度活动的膀症状之间的相关性 由于良性前列腺激增而经尿道切除前列腺后的前列腺
Ozgu Aydogdu1, Onur Erdemoglu2, Halil Ibrahim Bozkurt2
1Department of Urology, The Sahlgrenska Academy, The Institute of Clinical Sciences, University of Gothenburg, Gothenburg, 41345, Sweden.
The Canadian journal of urology
|November 12, 2025
概括
慢性前列腺炎症 (CPI) 复杂化过度活动膀 (OAB) 症状管理在男性良性前列腺增生 (BPH). 经尿道切除前列腺 (TUR-P) 仅在没有CPI的患者中改善了OAB症状,突出显示炎症是关键因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 病理学 病理学 病理学
背景情况:
- 下尿道症状 (LUTS) 在男性中很常见,通常与良性前列腺增生 (BPH) 相关.
- 过度活性膀 (OAB) 症状经常与BPH并存,但慢性前列腺炎 (CPI) 的作用尚不清楚.
- 在OAB的BPH患者中区分LUTS的原因对于有效治疗至关重要.
研究的目的:
- 调查慢性前列腺炎症 (CPI) 与患有良性前列腺增生症 (BPH) 的男性持续性过活性膀 (OAB) 症状之间的相关性.
主要方法:
- 51名患有BPH的男性接受过尿道切除前列腺 (TUR-P).
- 患者被病理分为患有和没有慢性前列腺炎 (CPI) 的两组.
- 术前和术后的评估包括NIH-CPSI,IPSS和OAB-V8问卷,以及临床评估 (PSA,尿液流量计,PVR,超声波).
主要成果:
- 两组之间没有观察到临床参数的显著差异.
- 这两组在TUR-P后的NIH-CPSI和IPSS得分都显示出类似的改善.
- 过度活性膀 (OAB) 症状仅在没有慢性前列腺炎 (CPI) 的患者中显著改善.
结论:
- 通过尿道切除前列腺 (TUR-P) 改善了BPH患者的LUTS,但与并发性慢性前列腺炎 (CPI) 相关的OAB症状更具挑战性.
- 确定BPH患者的CPI对于指导术后管理决策至关重要.
- 慢性前列腺炎 (CPI) 可能是导致BPH持续性OAB症状的独立因素.
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