Liang Jia-Yu, Lu Yi-Ping
Department of Urology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China.
Zhonghua Nan Ke Xue. 2016 Aug;22(8):735-740.
Benign prostatic hyperplasia (BPH) and BPH-induced lower urinary tract symptoms (LUTS) are common factors influencing the quality of life (QOL) of elderly males. In case of undesirable or adverse effects of medication, many BPH patients seek surgical treatment. Transurethral resection of the prostate (TURP), though evidently effective for BPH, fails to preserve the sexual function and therefore reduces the QOL of the patients. Moreover, some elderly patients with comorbidities may be unfit for TURP. Prostatic urethral lift (PUL) is a newly developed surgical procedure for the treatment of LUTS secondary to BPH. With the advantages of minimal invasiveness, low rate of peri- and post-operative complications, and maximal preservation of patients' erectile and ejaculatory functions, PUL is winning more and more attention from the clinicians and patients.
良性前列腺增生(BPH)以及BPH引发的下尿路症状(LUTS)是影响老年男性生活质量(QOL)的常见因素。在药物出现不良或有害作用的情况下,许多BPH患者会寻求手术治疗。经尿道前列腺切除术(TURP)虽然对BPH明显有效,但无法保留性功能,因此会降低患者的生活质量。此外,一些患有合并症的老年患者可能不适合TURP。前列腺尿道悬吊术(PUL)是一种新开发的用于治疗BPH继发LUTS的外科手术。由于具有微创、围手术期和术后并发症发生率低以及最大程度保留患者勃起和射精功能等优点,PUL正越来越受到临床医生和患者的关注。