• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

经尿道前列腺切除术和选择性光汽化前列腺术的技术考量与并发症处理

Technique considerations and complication management in transurethral resection of the prostate and photoselective vaporization of the prostate.

作者信息

Welliver Charles, Helo Sevann, McVary Kevin T

机构信息

Division of Urology, Albany Medical Center, Albany, New York, USA.

Albany Stratton Veterans Affairs Medical Center, Albany, New York, USA.

出版信息

Transl Androl Urol. 2017 Aug;6(4):695-703. doi: 10.21037/tau.2017.07.30.

DOI:10.21037/tau.2017.07.30
PMID:28904902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5583058/
Abstract

The prevalence of lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH) increases with age. While a variety of treatments are available for these men, endoscopic treatments are generally preferred for men with small to moderate size glands. Novel treatment options are continually introduced into this large market. However, the practicing urologist should have a well tested surgical option in regular practice that is applicable to a wide range of patients. Herein we discuss two well recognized surgical options that can be used for the majority of men with LUTS due to BPH who have failed medical management.

摘要

下尿路症状(LUTS)和良性前列腺增生(BPH)的患病率随年龄增长而增加。虽然针对这些男性有多种治疗方法,但对于腺体大小为小到中等的男性,内镜治疗通常是首选。新的治疗选择不断被引入这个庞大的市场。然而,执业泌尿科医生在日常实践中应该有经过充分测试的、适用于广泛患者的手术选择。在此,我们讨论两种广为人知的手术选择,它们可用于大多数因BPH导致LUTS且药物治疗失败的男性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/5583058/919ef59faede/tau-06-04-695-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/5583058/cc0fc9d83bba/tau-06-04-695-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/5583058/919ef59faede/tau-06-04-695-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/5583058/cc0fc9d83bba/tau-06-04-695-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/5583058/919ef59faede/tau-06-04-695-f2.jpg

相似文献

1
Technique considerations and complication management in transurethral resection of the prostate and photoselective vaporization of the prostate.经尿道前列腺切除术和选择性光汽化前列腺术的技术考量与并发症处理
Transl Androl Urol. 2017 Aug;6(4):695-703. doi: 10.21037/tau.2017.07.30.
2
Holmium:YAG transurethral incision versus laser photoselective vaporization for benign prostatic hyperplasia in a small prostate.钬激光经尿道前列腺切开术与激光光选择性汽化术治疗小前列腺良性前列腺增生的比较。
J Urol. 2014 Jan;191(1):148-54. doi: 10.1016/j.juro.2013.06.113. Epub 2013 Jul 8.
3
Photoselective vaporization of the prostate with GreenLight 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia: a systematic review with meta-analysis of randomized controlled trials.绿光120瓦激光选择性汽化前列腺与经尿道前列腺切除术治疗良性前列腺增生的比较:一项随机对照试验的系统评价与荟萃分析
Lasers Med Sci. 2016 Feb;31(2):235-40. doi: 10.1007/s10103-015-1843-1. Epub 2015 Dec 28.
4
Usage of GreenLight HPS 180-W laser vaporisation for treatment of benign prostatic hyperplasia.使用绿激光HPS 180-W激光汽化术治疗良性前列腺增生症。
Acta Chir Iugosl. 2014;61(1):57-61.
5
Management of Benign Prostatic Hyperplasia Larger than 100 ml: Simple Open Enucleation Versus Transurethral Laser Prostatectomy.大于100毫升的良性前列腺增生的管理:单纯开放性剜除术与经尿道激光前列腺切除术
Curr Urol Rep. 2016 Jun;17(6):44. doi: 10.1007/s11934-016-0601-7.
6
[Surgical treatment of benign prostatic hyperplasia-resection, vaporization or enucleation?].[良性前列腺增生的外科治疗——切除术、汽化术还是剜除术?]
Urologe A. 2019 Mar;58(3):263-270. doi: 10.1007/s00120-019-0891-8.
7
Benign prostatic hyperplasia: from bench to clinic.良性前列腺增生:从实验室到临床
Korean J Urol. 2012 Mar;53(3):139-48. doi: 10.4111/kju.2012.53.3.139. Epub 2012 Mar 19.
8
A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction: An Update.经尿道前列腺切除术治疗良性前列腺梗阻所致下尿路症状的功能结局和并发症的系统评价和荟萃分析:更新
Eur Urol. 2015 Jun;67(6):1066-1096. doi: 10.1016/j.eururo.2014.06.017. Epub 2014 Jun 25.
9
A Multicenter Randomized Noninferiority Trial Comparing GreenLight-XPS Laser Vaporization of the Prostate and Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Obstruction: Two-yr Outcomes of the GOLIATH Study.多中心随机非劣效性试验比较绿激光前列腺汽化术和经尿道前列腺切除术治疗良性前列腺梗阻:GOLIATH 研究的 2 年结果。
Eur Urol. 2016 Jan;69(1):94-102. doi: 10.1016/j.eururo.2015.07.054. Epub 2015 Aug 15.
10
[Initial assessment, follow-up and treatment of lower urinary tract symptoms related to benign prostatic hyperplasia: guidelines of the LUTS committee of the French Urological Association].[良性前列腺增生相关下尿路症状的初始评估、随访及治疗:法国泌尿外科学会下尿路症状委员会指南]
Prog Urol. 2012 Dec;22(16):977-88. doi: 10.1016/j.purol.2012.10.001. Epub 2012 Nov 6.

引用本文的文献

1
Comparative Outcomes of Open Simple Prostatectomy in Men with or Without Prior History of Transurethral Resection of the Prostate.有或无经尿道前列腺切除术病史男性行开放性单纯前列腺切除术的比较结果
Urol Res Pract. 2025 Jul 29;51(4):136-140. doi: 10.5152/tud.2025.24053.
2
Application of root cause analysis and TEAMSTEPPS post intravesical gas explosion during transurethral resection of the prostate: a rare case report.经尿道前列腺电切术中膀胱内气体爆炸的根本原因分析及 TEAMSTEPPS 应用:罕见病例报告。
BMC Urol. 2024 Jul 4;24(1):139. doi: 10.1186/s12894-024-01520-w.
3
The impact of tranexamic acid on perioperative outcomes in urological surgeries A systematic review and meta-analysis.

本文引用的文献

1
A minimally invasive approach to transperitoneal perforation of the bladder during bladder tumour resection.膀胱肿瘤切除术中经腹膜穿刺膀胱的微创方法。
Can Urol Assoc J. 2016 Mar-Apr;10(3-4):E117-8. doi: 10.5489/cuaj.3037.
2
A European multicenter randomized noninferiority trial comparing 180 W GreenLight XPS laser vaporization and transurethral resection of the prostate for the treatment of benign prostatic obstruction: 12-month results of the GOLIATH study.一项比较 180W GreenLight XPS 激光汽化术和经尿道前列腺切除术治疗良性前列腺梗阻的欧洲多中心随机非劣效性试验:GOLIATH 研究的 12 个月结果。
J Urol. 2015 Feb;193(2):570-8. doi: 10.1016/j.juro.2014.09.001. Epub 2014 Sep 16.
3
氨甲环酸对泌尿外科手术围手术期结局的影响:一项系统评价和荟萃分析
Can Urol Assoc J. 2023 Jun;17(6):205-216. doi: 10.5489/cuaj.8254.
4
Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy.经尿道前列腺电切术后导尿管球囊致输尿管口梗阻:梗阻性尿路病的罕见原因。
Urol Case Rep. 2021 Nov 16;40:101948. doi: 10.1016/j.eucr.2021.101948. eCollection 2022 Jan.
5
Post-transurethral resection of prostate urethral strictures: Are they often underreported? A single-center retrospective observational cohort study.经尿道前列腺切除术后尿道狭窄:它们是否经常报告不足?一项单中心回顾性观察队列研究。
Urol Ann. 2021 Oct-Dec;13(4):329-335. doi: 10.4103/UA.UA_165_19. Epub 2021 Oct 12.
6
The Design and Rationale of a Multicentre Randomised Controlled Trial Comparing Transperineal Percutaneous Laser Ablation With Transurethral Resection of the Prostate for Treating Benign Prostatic Hyperplasia.一项比较经会阴经皮激光消融术与经尿道前列腺切除术治疗良性前列腺增生的多中心随机对照试验的设计与原理
Front Surg. 2021 Oct 18;8:755957. doi: 10.3389/fsurg.2021.755957. eCollection 2021.
7
Shedding light on polypragmasy of pain after transurethral prostate surgery procedures: a systematic review and meta-analysis.揭示经尿道前列腺手术治疗后疼痛多药现象:系统评价和荟萃分析。
World J Urol. 2021 Oct;39(10):3711-3720. doi: 10.1007/s00345-021-03678-6. Epub 2021 Mar 31.
8
Detection of blackbody radiation during fiber guided laser-tissue vaporization.光纤引导激光组织汽化过程中黑体辐射的检测。
Biomed Opt Express. 2020 Jan 14;11(2):791-800. doi: 10.1364/BOE.376141. eCollection 2020 Feb 1.
9
Enhanced photothermal hemostasis using dual wavelengths in an leporine kidney model.在兔肾模型中使用双波长增强光热止血作用
Biomed Opt Express. 2019 Sep 16;10(10):5198-5206. doi: 10.1364/BOE.10.005198. eCollection 2019 Oct 1.
10
Need for upper urinary tract stenting in cases of ureteral orifice injury during laser enucleation of the prostate.前列腺激光剜除术中输尿管口损伤病例对上尿路支架置入的需求。
Int Urol Nephrol. 2018 Dec;50(12):2173-2177. doi: 10.1007/s11255-018-2007-6. Epub 2018 Oct 22.
A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction: An Update.
经尿道前列腺切除术治疗良性前列腺梗阻所致下尿路症状的功能结局和并发症的系统评价和荟萃分析:更新
Eur Urol. 2015 Jun;67(6):1066-1096. doi: 10.1016/j.eururo.2014.06.017. Epub 2014 Jun 25.
4
Morbidity and mortality after benign prostatic hyperplasia surgery: data from the American College of Surgeons national surgical quality improvement program.良性前列腺增生症手术后的发病率和死亡率:美国外科医师学院国家手术质量改进计划的数据。
J Endourol. 2014 Jul;28(7):831-40. doi: 10.1089/end.2013.0805. Epub 2014 Mar 12.
5
180-W XPS GreenLight laser vaporisation versus transurethral resection of the prostate for the treatment of benign prostatic obstruction: 6-month safety and efficacy results of a European Multicentre Randomised Trial--the GOLIATH study.180-W XPS 绿激光汽化术与经尿道前列腺电切术治疗良性前列腺梗阻:一项欧洲多中心随机试验——GOLIATH 研究的 6 个月安全性和疗效结果。
Eur Urol. 2014 May;65(5):931-42. doi: 10.1016/j.eururo.2013.10.040. Epub 2013 Nov 11.
6
Fluid extravasation caused by bladder perforation during bipolar transurethral resection using saline solution -a case report-.膀胱穿孔导致双极经尿道电切术中生理盐水外渗——一例报告。
Korean J Anesthesiol. 2013 Aug;65(2):163-6. doi: 10.4097/kjae.2013.65.2.163. Epub 2013 Aug 27.
7
Laparoscopic repair of iatrogenic bladder perforation during transurethral bladder tumor resection: Case report and literature review.经尿道膀胱肿瘤切除术中医源性膀胱穿孔的腹腔镜修补术:病例报告及文献复习
Indian J Urol. 2013 Jan;29(1):61-3. doi: 10.4103/0970-1591.109988.
8
Examining the 'gold standard': a comparative critical analysis of three consecutive decades of monopolar transurethral resection of the prostate (TURP) outcomes.探讨“金标准”:连续三个十年的经尿道前列腺切除术(TURP)结果的比较性批判性分析。
BJU Int. 2012 Dec;110(11):1595-601. doi: 10.1111/j.1464-410X.2012.11119.x. Epub 2012 Apr 30.
9
Defining optimal laser-fiber sweeping angle for effective tissue vaporization using 180 W 532 nm lithium triborate laser.定义 180 W 532nm 三硼酸锂激光器有效组织汽化的最佳激光光纤扫描角度。
J Endourol. 2012 Apr;26(4):313-7. doi: 10.1089/end.2011.0356. Epub 2012 Mar 22.
10
180-W XPS GreenLight laser therapy for benign prostate hyperplasia: early safety, efficacy, and perioperative outcome after 201 procedures.180-W XPS 绿激光治疗良性前列腺增生症:201 例患者的早期安全性、疗效和围手术期结果。
Eur Urol. 2012 Mar;61(3):600-7. doi: 10.1016/j.eururo.2011.11.041. Epub 2011 Dec 2.