男性下尿路症状（LUTS）的无创评估
Non-invasive evaluation of lower urinary tract symptoms (LUTS) in men.
作者信息
Mangat Reshma, Ho Henry S S, Kuo Tricia L C
机构信息
Department of Urology, Singapore General Hospital, Singapore.
出版信息
Asian J Urol. 2018 Jan;5(1):42-47. doi: 10.1016/j.ajur.2017.12.002. Epub 2017 Dec 8.
Abstract
Lower urinary tract symptoms (LUTS) are common in males over the age of 40 years old and are likely to increase with an aging population. Currently urodynamic studies are the gold standard to determine the aetiology of voiding dysfunction and LUTS. However, due to its invasive nature, a great number of non-invasive ultrasound based investigations have been developed to assess patients with symptomatic LUTS. The clinical application of non-invasive tests could potentially stratify patients who would require more invasive investigations and allow more precise patient directed treatment. A PubMed literature review was performed and we will discuss the non-invasive investigations that have been developed thus far, focusing on bladder wall and detrusor wall thickness (BWT & DWT), ultrasound estimated bladder weight (UEBW) and intravesical prostatic protrusion (IPP).
摘要
下尿路症状（LUTS）在40岁以上男性中很常见，并且随着人口老龄化可能会增加。目前，尿动力学研究是确定排尿功能障碍和LUTS病因的金标准。然而，由于其侵入性，已经开发了大量基于非侵入性超声的检查来评估有症状的LUTS患者。非侵入性检查的临床应用可能会对需要更具侵入性检查的患者进行分层，并实现更精准的针对患者的治疗。我们进行了PubMed文献综述，并将讨论迄今为止开发的非侵入性检查，重点关注膀胱壁和逼尿肌壁厚度（BWT和DWT）、超声估计膀胱重量（UEBW）和膀胱内前列腺突出（IPP）。
相似文献
1
Non-invasive evaluation of lower urinary tract symptoms (LUTS) in men.
Asian J Urol. 2018 Jan;5(1):42-47. doi: 10.1016/j.ajur.2017.12.002. Epub 2017 Dec 8.
2
Non-invasive ultrasound measurements in male patients with LUTS and benign prostatic obstruction: implication for diagnosis and treatment.
Minerva Urol Nefrol. 2017 Jun;69(3):220-233. doi: 10.23736/S0393-2249.16.02702-8. Epub 2016 Oct 5.
3
Assessment of noninvasive predictors of bladder outlet obstruction and acute urinary retention secondary to benign prostatic enlargement.
Arab J Urol. 2011 Sep;9(3):209-14. doi: 10.1016/j.aju.2011.09.003. Epub 2011 Nov 15.
4
Which is a better indicator of bladder outlet obstruction in patients with benign prostatic enlargement--intravesical protrusion of prostate or bladder wall thickness?
Med Arch. 2012;66(5):324-8. doi: 10.5455/medarh.2012.66.324-328.
5
Change of Ultrasound Estimated Bladder Weight and Bladder Wall Thickness After Treatment of Bladder Outlet Obstruction With Dutasteride.
Low Urin Tract Symptoms. 2017 May;9(2):67-74. doi: 10.1111/luts.12110. Epub 2015 Jul 27.
6
Urinary bladder characteristics via ultrasound as predictors of acute urinary retention in men with benign prostatic hyperplasia.
Clin Ter. 2014;165(2):75-81. doi: 10.7471/CT.2014.1680.
7
Imaging assessments of lower urinary tract dysfunctions: Future steps.
Turk J Urol. 2014 Jun;40(2):78-81. doi: 10.5152/tud.2014.43650.
8
Can Bladder and Prostate Sonomorphology Be Used for Detecting Bladder Outlet Obstruction in Patients With Symptomatic Benign Prostatic Hyperplasia?
Urology. 2016 Dec;98:126-131. doi: 10.1016/j.urology.2016.08.033. Epub 2016 Aug 31.
9
Ultrasound assessment of intravesical prostatic protrusion and detrusor wall thickness--new standards for noninvasive bladder outlet obstruction diagnosis?
J Urol. 2010 Jun;183(6):2270-4. doi: 10.1016/j.juro.2010.02.019. Epub 2010 Apr 18.
10
[Ultrasound indicators of the prostate, urinary bladder and uroflowmetry parameters in the diagnosis of infravesical obstruction in men with benign prostatic hyperplasia].
Urologiia. 2017 Oct(5):9-14. doi: 10.18565/urology.2017.5.9-14.
引用本文的文献
1
Clinical predictors of bladder outlet obstruction in men consulting for routine urological screening.
Int Urol Nephrol. 2025 Mar 5. doi: 10.1007/s11255-025-04432-2.
2
Urodynamic Study in Multiple System Atrophy: A Retrospective Observational Study.
Brain Neurorehabil. 2023 Mar 21;16(1):e7. doi: 10.12786/bn.2023.16.e7. eCollection 2023 Mar.
3
Evaluation of non-invasive tests as diagnostic tools in assessment of bladder outlet obstruction severity in men with anterior urethral stricture.
Cent European J Urol. 2021;74(3):422-428. doi: 10.5173/ceju.2021.3.153.R1. Epub 2021 Jul 27.
4
Non-Invasive Predictors of Response to Tamsulosin for Benign Prostatic Obstruction.
Cureus. 2021 Feb 15;13(2):e13341. doi: 10.7759/cureus.13341.
5
What is a disease? What is the disease clinical benign prostatic hyperplasia (BPH)?
World J Urol. 2019 Jul;37(7):1293-1296. doi: 10.1007/s00345-019-02691-0. Epub 2019 Feb 25.
6
Current consensus and controversies on male LUTS/BPH (part two).
Asian J Urol. 2018 Jan;5(1):8-9. doi: 10.1016/j.ajur.2017.11.007. Epub 2017 Dec 6.
本文引用的文献
1
Systematic Review of the Performance of Noninvasive Tests in Diagnosing Bladder Outlet Obstruction in Men with Lower Urinary Tract Symptoms.
Eur Urol. 2017 Mar;71(3):391-402. doi: 10.1016/j.eururo.2016.09.026. Epub 2016 Sep 27.
2
3
Near-infrared spectroscopy of the urinary bladder during voiding in men with lower urinary tract symptoms: a preliminary study.
Biomed Res Int. 2013;2013:452857. doi: 10.1155/2013/452857. Epub 2013 Jul 14.
4
Intravesical prostatic protrusion can be a predicting factor for the treatment outcome in patients with lower urinary tract symptoms due to benign prostatic obstruction treated with tamsulosin.
Urology. 2013 Apr;81(4):859-63. doi: 10.1016/j.urology.2012.12.007. Epub 2013 Jan 30.
5
Impact of intravesical protrusion of the prostate in the treatment of lower urinary tract symptoms/benign prostatic hyperplasia of moderate size by alpha receptor antagonist.
Int Neurourol J. 2012 Dec;16(4):187-90. doi: 10.5213/inj.2012.16.4.187. Epub 2012 Dec 31.
6
Prostatic urethral angulation associated with urinary flow rate and urinary symptom scores in men with lower urinary tract symptoms.
Urology. 2012 Dec;80(6):1333-7. doi: 10.1016/j.urology.2012.08.058.
7
Relationship between Intravesical Prostatic Protrusion and Postoperative Outcomes in Patients with Benign Prostatic Hyperplasia.
Korean J Urol. 2012 Jul;53(7):478-82. doi: 10.4111/kju.2012.53.7.478. Epub 2012 Jul 19.
8
Resistive index of prostate capsular arteries: a newly identified parameter to diagnose and assess bladder outlet obstruction in patients with benign prostatic hyperplasia.
J Urol. 2012 Sep;188(3):881-7. doi: 10.1016/j.juro.2012.04.114. Epub 2012 Jul 20.
9
Is increased prostatic urethral angle related to lower urinary tract symptoms in males with benign prostatic hyperplasia/lower urinary tract symptoms?
Korean J Urol. 2012 Jun;53(6):410-3. doi: 10.4111/kju.2012.53.6.410. Epub 2012 Jun 19.
10
The prevalence of lower urinary tract symptoms and treatment-seeking behaviour in males over 40 years in Singapore: a community-based study.
Prostate Cancer Prostatic Dis. 2012 Sep;15(3):273-7. doi: 10.1038/pcan.2011.69. Epub 2012 Feb 21.
Zotero 插件