在COVID-19后患有良性前列腺增生症的患者中,下泌尿道症状的恶化
Ahmet Sanli1,2, Guven Erbay1,2, Ufuk Yavuz1,2
1Department of Urology, Karamanoglu Mehmetbey University Faculty of Medicine, Karaman, Turkiye.
Northern clinics of Istanbul
|January 23, 2026
概括
严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 在良性前列腺增生症 (BPH) 患者中对国际前列腺症状评分 (IPSS),最大尿流率 (Qmax) 和余空后尿量 (PVR) 产生了负面影响. 前列腺体积和PSA水平没有受到影响.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 良性前列腺增生 (BPH) 是一种常见的疾病,影响老年男性.
- 严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 对BPH患者的影响尚不清楚.
- 了解这些影响对于在COVID-19感染期间和之后管理BPH患者至关重要.
研究的目的:
- 研究SARS-CoV-2感染对关键BPH指标的短期影响.
- 评估前列腺体积的变化,前列腺特异性抗原 (PSA),国际前列腺症状评分 (IPSS),最大尿流速 (Qmax) 和后空余尿量 (PVR) 在COVID-19后.
- 为了确定COVID-19的严重程度是否影响BPH患者的这些结果.
主要方法:
- 一个医院数据库的回顾性审查,包括104名男性患者,年龄在40-75岁,患有BPH.
- 包括2020年3月至2020年12月期间通过RT-PCR诊断出SARS-CoV-2的患者.
- 前列腺体积,PSA,IPSS,Qmax和PVR测量的比较,在COVID-19诊断之前和之后的一年内进行.
主要成果:
- 没有观察到前列腺体积或PSA水平的统计学意义上的变化 (p>0.05).
- 在COVID-19后的IPSS,Qmax和PVR值中发现了统计学上显著的差异 (p<0.001).
- 这些IPSS,Qmax和PVR的变化独立于COVID-19疾病的严重程度.
结论:
- 短期COVID-19感染会对BPH患者的尿路症状和排泄效率产生负面影响.
- 这项研究强调了SARS-CoV-2感染BPH男性的潜在短期泌尿后果.
- 需要进一步的研究来了解长期影响和潜在机制.
更多相关视频
06:04Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
17.6K
08:38Renal Capsule Xenografting and Subcutaneous Pellet Implantation for the Evaluation of Prostate Carcinogenesis and Benign Prostatic Hyperplasia
Published on: August 28, 2013
26.1K
相关概念视频
01:28Urinary Tract Calculi I: Introduction
434
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
434
01:26Urinary Tract Infection I: Introduction
595
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
595
01:25Urinary Tract Infection II: Pathophysiology
607
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
607
01:28Urinary Tract Calculi V: Nursing Management
282
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
282
01:25Urinary Tract Calculi VI: Surgical Management
435
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
435
01:17Urinary Tract Infection IV: Nursing Management
447
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
447