UCSD School of Medicine, La Jolla, California.
J Urol. 2020 Oct;204(4):799-804. doi: 10.1097/JU.0000000000001298. Epub 2020 Jul 23.
The AUA Guideline panel provides evidence-based recommendations for the surgical management of male lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH).
The Panel amended the Guideline in 2020 to reflect additional literature published through September 2019. When sufficient evidence existed, the Panel assigned the body of evidence a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, the Panel provided additional information as Clinical Principles and Expert Opinions (See table 1[Table: see text]).
Amendments to these Guidelines include: 1) an amended statement (Guideline 1) to include conducting a physical examination; 2) a new statement (Guideline 6) discussing concepts of treatment failure and retreatment; 3) an amended statement (Guideline 15) with updated supporting text for prostatic urethral lift (PUL); 4) an amended statement (Guideline 16) for PUL; 5) an amended statement (Guideline 17) with updated supporting text for transurethral microwave therapy (TUMT); 6) an amended statement (Guideline 18) with updated supporting text for water vapor thermal therapy; 7) updated supporting text for water vapor thermal therapy (Guideline 19); 8) an amended statement (Guideline 21) with updated supporting text for laser enucleation; 9) an amended statement (Guideline 22) with updated supporting text for Aquablation; and 10) an amended statement (Guideline 23) with updated supporting text for Prostate Artery Embolization (PAE).
These evidence-based updates to the AUA Guidelines further inform the surgical management of LUTS/BPH.
AUA 指南小组为良性前列腺增生（BPH）引起的男性下尿路症状（LUTS）的手术治疗提供了循证建议。
小组于 2020 年修订了指南，以反映截至 2019 年 9 月发表的其他文献。当有足够的证据时，小组为证据体分配了 A（高）、B（中）或 C（低）强度等级，以支持强、中或条件推荐。在缺乏足够证据的情况下，小组提供了更多的临床原则和专家意见（见表 1[表：见正文]）。
对这些指南的修订包括：1）修订了一项声明（指南 1），包括进行体格检查；2）新增了一项声明（指南 6），讨论了治疗失败和再治疗的概念；3）修订了一项声明（指南 15），更新了前列腺尿道抬起术（PUL）的支持文本；4）修订了一项声明（指南 16），用于 PUL；5）修订了一项声明（指南 17），更新了经尿道微波治疗（TUMT）的支持文本；6）修订了一项声明（指南 18），更新了水蒸气热疗的支持文本；7）更新了水蒸气热疗的支持文本（指南 19）；8）修订了一项声明（指南 21），更新了激光前列腺切除术的支持文本；9）修订了一项声明（指南 22），更新了 Aquablation 的支持文本；10）修订了一项声明（指南 23），更新了前列腺动脉栓塞术（PAE）的支持文本。
这些基于证据的 AUA 指南更新进一步为 LUTS/BPH 的手术治疗提供了信息。
