Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Drugs Aging. 2023 Sep;40(9):815-836. doi: 10.1007/s40266-023-01054-0. Epub 2023 Aug 9.
Benign prostatic obstruction (BPO) is a prevalent condition that affects men, primarily toward their old age. The condition is often accompanied by lower urinary tract symptoms (LUTS), which can significantly impair a patient's quality of life and lead to other medical complications. Accurate diagnosis of BPO is essential for effective management of complications secondary to BPO, and treatment plans should be tailored patients, and occasionally according to surgeon experience. As such, this literature review aims to analyze the current available data on male LUTS secondary to BPO by providing a comprehensive overview of relevant studies, as well as the surgical and medical management guidelines from the Canadian Urological Association (CUA), American Urological Association (AUA), and European Association of Urology (EAU). By synthesizing the existing literature, this review purports to summarize the current body of knowledge surrounding BPO and male LUTS, and support healthcare providers in making informed decisions about the management of male LUTS secondary to BPO, ultimately improving patient outcomes and quality of life.
良性前列腺增生症(BPO)是一种常见于老年男性的疾病。该疾病常伴有下尿路症状(LUTS),这会显著降低患者的生活质量,并导致其他医疗并发症。准确诊断 BPO 对于有效管理 BPO 引起的并发症至关重要,治疗方案应根据患者的具体情况制定,有时还应根据外科医生的经验来制定。因此,本文旨在通过提供相关研究的综合概述,以及加拿大泌尿外科协会(CUA)、美国泌尿外科协会(AUA)和欧洲泌尿外科协会(EAU)的手术和医疗管理指南,分析当前关于 BPO 引起的男性 LUTS 的可用数据。通过综合现有文献,本文旨在总结当前关于 BPO 和男性 LUTS 的知识体系,为医疗保健提供者提供支持,使其能够就 BPO 引起的男性 LUTS 的管理做出明智决策,最终改善患者的预后和生活质量。