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第一代和第二代临时可植入形状记忆合金装置作为治疗 BPH 相关 LUTS 的微创治疗方法:文献系统评价。

First- and Second-Generation Temporary Implantable Nitinol Devices As Minimally Invasive Treatments for BPH-Related LUTS: Systematic Review of the Literature.

机构信息

Division of Urology, Department Of Oncology, School of Medicine, University of Turin, San Luigi Hospital, Regione Gonzole 10, Orbassano, 10043, Turin, Italy.

出版信息

Curr Urol Rep. 2019 Jul 5;20(8):47. doi: 10.1007/s11934-019-0912-6.

Abstract

INTRODUCTION

In the last decade, there has been a growing interest in minimally invasive treatment for benign prostatic hyperplasia (BPH) associated with lower urinary tract symptoms (LUTS). In this field, one of the options currently available is the temporary implantable nitinol device (iTIND) (Medi-Tate®; Medi-Tate Ltd., Or Akiva, Israel).

PURPOSE OF THE WORK

To review the recent data available in the literature regarding the role of the first-generation (TIND) and second-generation (iTIND) devices for the management of BPH with LUTS, especially focusing on follow-up of functional outcomes.

EVIDENCE ACQUISITION

PubMed, Embase, and the Cochrane Central Register of Controlled Trials were screened for clinical trials on this topic.

EVIDENCE SYNTHESIS

Literature evidences regarding implantation of TIND and iTIND for PBH with LUTS are limited. There are only three studies available, one with a medium-term follow-up. The results of these studies suggested that both the TIND and iTIND implantations are safe, effective, and well-tolerated procedures, allowing spare ejaculation in sexually active patients.

CONCLUSIONS

Current evidences emphasize that the temporary implantable nitinol devices are promising alternatives to the standard minimally invasive surgical options for BPH-related LUTS. Further studies are needed to confirm the effectiveness over a long-term follow-up.

摘要

简介

在过去十年中,人们对治疗与下尿路症状(LUTS)相关的良性前列腺增生(BPH)的微创治疗方法越来越感兴趣。在该领域,目前可选择的方法之一是临时可植入的镍钛诺装置(iTIND)(Medi-Tate®;Medi-Tate Ltd.,以色列奥阿基瓦)。

工作目的

回顾文献中关于第一代(TIND)和第二代(iTIND)设备在治疗伴有 LUTS 的 BPH 中的作用的最新数据,特别是重点关注功能结果的随访。

证据采集

在 PubMed、Embase 和 Cochrane 对照试验中心注册库中对该主题的临床试验进行了筛选。

证据综合

关于 TIND 和 iTIND 植入治疗伴有 LUTS 的 BPH 的文献证据有限。仅有三项研究可用,其中一项具有中期随访。这些研究的结果表明,TIND 和 iTIND 植入都是安全、有效且耐受良好的手术,可以让有性生活的患者保留射精。

结论

目前的证据强调,临时可植入的镍钛诺装置是治疗与 BPH 相关的 LUTS 的标准微创治疗方法的有前途的替代方法。需要进一步的研究来确认长期随访的效果。

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