基于证据的尿动力学在男性下尿道症状考虑前列腺手术的作用:国际专家共识
Marcus J Drake1, Valerio Iacovelli2, Francisco Cruz3
1Department of Surgery and Cancer, Imperial College, London, UK.
European urology focus
|January 15, 2026
概括
泌尿动力学 (UDS) 有助于决定前列腺手术的男性下尿路症状 (LUTS). 专家建议在紧急情况或高空后残留体积等特定情况下使用UDS,以有效指导治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学诊断 医学诊断 医学诊断
- 手术规划 手术规划
背景情况:
- 患有下泌尿道症状 (LUTS) 的男性经常考虑进行前列腺手术.
- 在这种情况下,适当使用泌尿动力学 (UDS) 需要澄清.
- 高质量的证据,包括UPSTREAM研究,为临床决策提供了信息.
研究的目的:
- 建立有关尿动力学 (UDS) 适当使用的专家共识.
- 引导选择性应用的UDS在男人有烦人的LUTS考虑前列腺手术.
- 整合证据和临床经验,以实现最佳的患者管理.
主要方法:
- 为了达成国际专家共识,采用了经过修改的Delphi方法.
- 这项研究排除了术后,导管和神经功能受损的患者.
- 八个问题集中在特定临床场景中的UDS,其中四个涉及质量保证.
主要成果:
- 达成共识的UDS需要紧急,高空后残留,显著的并发症,或确定了 incontinence.
- 建议在良性前列腺阻塞 (BPO) 不太可能发生或怀疑detrusor过度/低活性时使用UDS.
- 在为LUTS推手术时,UDS不被认为对严重排泄症状至关重要.
结论:
- 泌尿动力学 (UDS) 仍然是管理男性人的LUTS考虑手术的关键.
- 该共识为UDS的选择性使用提供了具体的标准.
- 本指南旨在优化手术决策并改善患者的治疗结果.
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