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经尿道热疗治疗老年下尿路症状相关储尿期症状的疗效。

Effect of Transurethral Thermotherapy on Storage Symptoms Associated with Lower Urinary System Complaints in Elderly.

机构信息

Department of Urology, Darende Hulusi Efendi State Hospital, 44700 Malatya, Turkey.

Department of Urology, Ordu University, Faculty of Medicine, 52200 Ordu, Turkey.

出版信息

Arch Esp Urol. 2022 Nov;75(9):764-770. doi: 10.56434/j.arch.esp.urol.20227509.112.

DOI:10.56434/j.arch.esp.urol.20227509.112
PMID:36472059
Abstract

BACKGROUND

Storage symptoms are pathology with increasing frequency and importance among elderly men. The efficacy and advantages of the new bipolar radiofrequency prostate thermotherapy method were investigated for storage symptoms in elderly.

METHODS

The outcomes for 150 elderly patients with significant storage symptoms accompanying voiding symptoms were investigated. The patients' Qmax (maximum urinary flow rate), prostate volumes, OAB-V8 (overactivebladder-Validated 8) and quality of life scores were questioned before the procedure and 1st month and 6th month.

RESULTS

OAB-V8 total score had mean value of 26.3, with values identified as 16.2 ( < 0.001) at the end of the 1st month and 13.9 ( = 0.001) at the end of the 6th month. There were significant reductions in daytime frequent urination, uncomfortable urgency and sudden feeling of urgency complaints ( < 0.001). Thirty-five patients had significant fall in urgency with incontinence ( = 0.016).

CONCLUSIONS

The bipolar radiofrequency thermotherapy method provides significant improvement of storage symptoms in elderly men. It is thought that this method has advantages in terms of its effects on storage and voiding symptoms in the elderly.

摘要

背景

随着年龄的增长,男性的储存症状越来越频繁,也越来越重要。本研究旨在探讨新的双极射频前列腺热疗方法对老年男性储存症状的疗效和优势。

方法

对 150 例伴有排尿症状的老年男性储存症状患者进行研究。在治疗前、治疗后 1 个月和 6 个月时,对患者的最大尿流率(Qmax)、前列腺体积、OAB-V8(膀胱过度活动症-验证 8 项)和生活质量评分进行了评估。

结果

OAB-V8 总评分的平均值为 26.3,治疗后 1 个月和 6 个月的评分分别为 16.2(<0.001)和 13.9(=0.001),均有显著下降。日间尿频、不适性尿急和突发尿急感等症状明显改善(<0.001)。35 例患者的尿急伴失禁症状明显改善(=0.016)。

结论

双极射频热疗方法可显著改善老年男性的储存症状。该方法在改善老年男性的储存和排尿症状方面具有优势。

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