前列腺治疗导致的尿道狭窄和缩窄
Urethral Strictures and Stenoses Caused by Prostate Therapy.
作者信息
Chen Mang L, Correa Andres F, Santucci Richard A
机构信息
California Pacific Medical Center, Davies Campus San Francisco, CA.
Department of Urology, University of Pittsburgh School of Medicine Pittsburgh, PA.
出版信息
Rev Urol. 2016;18(2):90-102. doi: 10.3909/riu0685.
Abstract
The number of patients with prostate cancer and benign prostatic hyperplasia is on the rise. As a result, the volume of prostate treatment and treatment-related complications is also increasing. Urethral strictures and stenoses are relatively common complications that require individualized management based on the length and location of the obstruction, and the patient's overall health, and goals of care. In general, less invasive options such as dilation and urethrotomy are preferred as first-line therapy, followed by more invasive substitution, flap, and anastomotic urethroplasty.
摘要
前列腺癌和良性前列腺增生患者的数量正在上升。因此，前列腺治疗的规模以及与治疗相关的并发症也在增加。尿道狭窄是相对常见的并发症，需要根据梗阻的长度和位置、患者的整体健康状况以及护理目标进行个体化管理。一般来说，扩张和尿道切开术等侵入性较小的选择作为一线治疗更为可取，其次是侵入性更强的替代、皮瓣和吻合性尿道成形术。
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