良性前列腺增生的外科治疗——经尿道前列腺悬掉术还是激光手术？
Surgical Treatment of Benign Prostatic Hyperplasia-Lift or Laser?
作者信息
Chughtai Bilal, Kaplan Steven
机构信息
Department of Urology, Institute for Bladder and Prostate Health, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York.
出版信息
Urol Pract. 2014 May;1(1):45-48. doi: 10.1016/j.urpr.2014.02.007. Epub 2014 Mar 4.
INTRODUCTION
We review modern office based therapies for the management of lower urinary tract symptoms secondary to benign prostatic hyperplasia.
METHODS
A search was performed for the literature between 2005 and 2014 on office based therapies for benign prostatic hyperplasia focusing on prostatic urethral lift and office based laser therapies.
RESULTS
Prostatic urethral lift is a novel technology that functions on mechanical compression alone. Initial trials have demonstrated improvement in symptom scores by 42% and in maximum flow by 30% at 2 years of followup.
CONCLUSIONS
The prostatic urethral lift device represents a novel approach in the array of office based technologies to treat benign prostatic hyperplasia, although additional information on ease of insertion, reproducibility and durability is needed.
引言
我们回顾了基于门诊治疗良性前列腺增生继发下尿路症状的现代疗法。
方法
检索了2005年至2014年间关于基于门诊治疗良性前列腺增生的文献，重点关注前列腺尿道悬吊术和基于门诊的激光治疗。
结果
前列腺尿道悬吊术是一种仅通过机械压迫起作用的新技术。初步试验表明，在2年的随访中，症状评分改善了42%，最大尿流率提高了30%。
结论
前列腺尿道悬吊装置是一系列基于门诊的治疗良性前列腺增生技术中的一种新方法，不过仍需要关于插入的难易程度、可重复性和耐用性的更多信息。
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