前列腺死和破坏的膀出口的管理 - - 一个叙述性的回顾
Henriette Veiby Holm1, Ole Jacob Nilsen1,2
1Department of Urology, Oslo University Hospital, Oslo, Norway.
Translational andrology and urology
|November 13, 2025
概括
经过前列腺癌 (PC) 治疗后,可以出现被破坏的膀出口 (DBO). 在严重的情况下,尿路转移 (UD) 可能是必要的,有各种可用的选择来管理这种并发症并改善生活质量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 手术并发症 手术并发症
背景情况:
- 被摧毁的膀出口 (DBO) 是前列腺癌 (PC) 治疗后的一种罕见但严重的并发症.
- 这些并发症显著影响患者的生活质量 (QoL).
- 增加的PC发病率和患者的寿命长度需要对不良结果的更多认识.
研究的目的:
- 审查PC治疗后DBO的发病率,风险因素,诊断和管理.
- 讨论尿路转移 (UD) 在管理严重的DBO中的作用.
- 强调患者咨询和个性化治疗选择的重要性.
主要方法:
- 通过OvidSP.进行的系统文献搜索.
- 包括1946年至今的英语语言研究.
- 专注于PC治疗导致DBO的并发症.
主要成果:
- DBO可能是良性疾病的结果,但在盆腔癌治疗后更为频繁,特别是多式PC疗法.
- 严重的DBO涉及阻塞,失禁,抽或膀功能障碍等并发症的组合.
- 带或不带囊切除术的尿路转移 (UD) 可能是未成功重建,放射治疗或并发症的患者的最佳选择.
结论:
- 在PC治疗后存在DBO的不可忽视的风险,特别是多式联络方法.
- 在严重的情况下,UD是必要的管理策略.
- 有一系列的UD选项存在,需要仔细的患者选择和咨询.
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