在BPH有膀结石的水化结果:分析ICARUS数据库的分析
Joshua D Cabral1, Margaret Gannon1, Gregory Raster1
1Department of Surgery, Division of Urology University of Chicago Chicago Illinois USA.
BJUI compass
|February 2, 2026
概括
水是良性前列腺增生症 (BPH) 的安全有效治疗方法,即使有膀结石. 这种手术在患有膀结石和没有膀结石的男性中显示出相似的结果,证明了它的多功能性.
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:
- 良性前列腺增生症 (BPH) 是老年男性常见的疾病.
- 膀石可以与BPH并存,使治疗复杂化.
- 水提供了BPH管理的最小侵入性方法.
研究的目的:
- 评估在有或没有膀结石的男性中BPH的Aquablation的临床结果.
- 为了比较同时进行水化和膀结石去除的安全性和有效性.
主要方法:
- 对1885名接受水洗的男性 (2018-2024) 的回顾性分析.
- 患者被分为两组:有膀结石 (n=60) 和没有 (n=1825).
- 评估结果:人口统计,手术特征,国际前列腺症状评分 (IPSS),尿液峰值流量 (Qmax) 和空气后残留量 (PVR) 至24个月.
主要成果:
- 患有膀结石的男性前列腺较大,BPH手术的发生率较高,以及手术前的尿路保留.
- 膀结石组的手术时间较长,但水洗时间和出血并发症相似.
- 术后两组之间IPSS,Qmax和PVR的改善没有显著差异.
结论:
- 水是一种安全有效的BPH治疗方法.
- 同时治疗膀结石并不会对水化疗法的结果产生负面影响.
- 在BPH患者中,不管膀结石如何,Aquablation都能为患者提供持续的功能改善.
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