接受HoLEP的60岁以下男性的临床特征和结果:一项回顾性单中心研究
Omri Schwarztuch Gildor1,2, Tomer Mendelson1, Yotam Veredgorn1
1Department of Urology, Tel-Aviv Sourasky Medical Center, affiliated to the Faculty of Medical and Health Sciences, Tel-Aviv University, Israel.
Central European journal of urology
|December 1, 2025
概括
前列腺的霍尔激光取核 (HoLEP) 对所有年龄组有效. 年轻的男性 (≤60) 经历了更短的手术和住院时间与HoLEP,而老年男性有更高的显著前列腺癌的比率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技术 手术技术
- 男人的健康 男人的健康
背景情况:
- 有限的数据存在于60岁或更年轻的男性的前列腺荷激光取核 (HoLEP) 结果.
- 了解年轻人群中的HoLEP对于全面的治疗策略至关重要.
研究的目的:
- 分析HoLEP在60岁或更年轻男性的临床表现和结果,与老年人群相比.
- 在不同年龄的人口统计学中描述指示,手术参数和瘤学发现的差异.
主要方法:
- 750个连续的HoLEP程序的回顾性分析.
- 患者分为四个年龄组:≤60,61-70,71-80,和>80岁.
- 收集的数据包括人口统计,国际前列腺症状得分 (IPSS),尿液流量计,前列腺体积,并发症,手术细节,并发症和瘤结果.
主要成果:
- 60岁以下和80岁以上的男性更有可能呈现HoLEP (导管/保留) 的绝对指示.
- 60岁以下的年龄组前列腺较小,并发症较少,手术时间较短,"沙球"率较低,住院时间较短.
- 术后的IPSS在≤60组较低,而所有年龄段的并发症率相似;年轻男性的偶发性前列腺癌的程度较低.
结论:
- 霍勒普是所有年龄段良性前列腺增生症的安全有效治疗方案.
- 年龄会影响HoLEP的适应症,年轻和老年患者更常需要绝对适应症的干预.
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