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UroLift的最新进展:全面概述。

Recent advances in UroLift: A comprehensive overview.

作者信息

Denisenko Andrew, Somani Bhaskar, Agrawal Vineet

机构信息

Geisinger Commonwealth School of Medicine, Pennsylvania, United States.

University Hospital Southampton NHS Trust, Southampton, United Kingdom.

出版信息

Turk J Urol. 2022 Jan;48(1):11-16. doi: 10.5152/tud.2022.21149.

Abstract

OBJECTIVE

Recent years have seen a steep rise in minimally invasive surgical therapy (MIST) for benign prostate hyperplasia (BPH). Prostatic urethral lift (UroLift) is a mechanical intervention aimed at reducing lower urinary tract symptoms, which affect patients with BPH.

MATERIAL AND METHODS

A narrative synthesis of all studies regarding UroLift is performed over the last decade, evaluating its impact on International Prostate Symptom Score (IPSS), quality of life (QoL), Qmax, Benign Prostate Hypertrophy Impact Index, and sexual health metrics.

RESULTS

The studies included have demonstrated significant improvements in the objective parameters measured. UroLift has a low side-effect profile and is comparable to transurethral resection of the prostate in QoL changes and is superior with respect to recovery time and ejaculatory function.

CONCLUSION

Our findings suggest that UroLift may be an appropriate treatment for individuals undergoing treatment for BPH who are concerned with sexual and ejaculatory functions. More studies are needed to determine who is eligible for UroLift, as well as the long-term impact of UroLift on individuals with BPH.

摘要

目的

近年来,良性前列腺增生(BPH)的微创外科治疗(MIST)急剧增加。前列腺尿道悬吊术(UroLift)是一种旨在减轻下尿路症状的机械干预措施,这些症状会影响BPH患者。

材料与方法

对过去十年中所有关于UroLift的研究进行叙述性综述,评估其对国际前列腺症状评分(IPSS)、生活质量(QoL)、最大尿流率(Qmax)、良性前列腺增生影响指数和性健康指标的影响。

结果

纳入的研究表明,所测量的客观参数有显著改善。UroLift的副作用较小,在生活质量变化方面与经尿道前列腺切除术相当,在恢复时间和射精功能方面更具优势。

结论

我们的研究结果表明,对于关注性功能和射精功能的BPH患者,UroLift可能是一种合适的治疗方法。需要更多研究来确定哪些人适合UroLift,以及UroLift对BPH患者的长期影响。

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Recent advances in UroLift: A comprehensive overview.UroLift的最新进展:全面概述。
Turk J Urol. 2022 Jan;48(1):11-16. doi: 10.5152/tud.2022.21149.
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Efficacy and safety of the urolift® system for the treatment of benign prostate hyperplasia symptoms: systematic review.
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本文引用的文献

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Pelvic Hematoma following Urolift Procedure for BPH.
Urology. 2020 Mar;137:208. doi: 10.1016/j.urology.2019.11.040. Epub 2019 Dec 24.

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