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经尿道钬激光剜除术治疗合并膀胱输尿管反流的小体积良性前列腺增生前后的影像尿动力学检查结果

Video urodynamic findings pre-and post-transurethral holmium laser enucleation of the prostate for small benign prostatic hyperplasia with vesicoureteral reflux.

作者信息

Teramoto Sakiko, Murase Kazumasa, Kurosawa Nagayuki, Nagai Shingo, Kubota Yasuaki

机构信息

Division of Urology Toyota Memorial Hospital Toyota Aichi Japan.

出版信息

IJU Case Rep. 2025 Jan 22;8(2):146-149. doi: 10.1002/iju5.12829. eCollection 2025 Mar.

DOI:10.1002/iju5.12829
PMID:40034898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11872197/
Abstract

INTRODUCTION

We report the pre-and postoperative evaluation of small benign prostatic hyperplasia with secondary vesicoureteral reflux using video urodynamics.

CASE PRESENTATION

A 57-year-old man had been suffering from urinary dysfunction for 10 years and was aware of discomfort in his right back during urination. A prostate volume was 24 mL. Cystoscopy revealed hypertrophy of the middle lobe. Video urodynamics demonstrated storage dysfunction, voiding dysfunction, and Grade 3 right vesicoureteral reflux. We performed transurethral holmium laser enucleation of the prostate. Video urodynamics demonstrated improvements in both storage and voiding functions, and the right vesicoureteral reflux resolved 6 months postoperatively.

CONCLUSION

Even a small prostate can cause severe urinary dysfunction. In cases of secondary vesicoureteral reflux associated with bladder outlet obstruction, simultaneous repair of the reflux is not necessary unless there is recurrent pyelonephritis or reflux nephropathy.

摘要

引言

我们报告了使用影像尿动力学对伴有继发性膀胱输尿管反流的小体积良性前列腺增生进行的术前和术后评估。

病例介绍

一名57岁男性患有排尿功能障碍10年，排尿时自觉右背部不适。前列腺体积为24毫升。膀胱镜检查显示中叶肥大。影像尿动力学检查显示存在储尿功能障碍、排尿功能障碍以及3级右侧膀胱输尿管反流。我们对该患者实施了经尿道钬激光前列腺剜除术。影像尿动力学检查显示储尿和排尿功能均有改善，且右侧膀胱输尿管反流在术后6个月消失。

结论

即使是小体积前列腺也可导致严重的排尿功能障碍。在伴有膀胱出口梗阻的继发性膀胱输尿管反流病例中，除非存在复发性肾盂肾炎或反流性肾病，否则无需同时修复反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406f/11872197/b63da0a34f8f/IJU5-8-146-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406f/11872197/e672bc0721b9/IJU5-8-146-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406f/11872197/7de63dffd083/IJU5-8-146-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406f/11872197/b63da0a34f8f/IJU5-8-146-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406f/11872197/e672bc0721b9/IJU5-8-146-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406f/11872197/7de63dffd083/IJU5-8-146-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406f/11872197/b63da0a34f8f/IJU5-8-146-g003.jpg

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本文引用的文献

1
The prostatic middle lobe: clinical significance, presentation and management.前列腺中叶：临床意义、表现与处理。
Nat Rev Urol. 2023 Nov;20(11):645-653. doi: 10.1038/s41585-023-00774-7. Epub 2023 May 15.
2
Combination of intravesical prostatic protrusion and resistive index is useful to predict bladder outlet obstruction in patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia.膀胱内前列腺突出与阻力指数相结合有助于预测提示良性前列腺增生的下尿路症状患者的膀胱出口梗阻。
Int J Urol. 2016 Nov;23(11):929-933. doi: 10.1111/iju.13188. Epub 2016 Aug 21.
3
Risk factors predicting upper urinary tract deterioration in patients with spinal cord injury: A retrospective study.
预测脊髓损伤患者上尿路恶化的危险因素：一项回顾性研究。
Neurourol Urodyn. 2017 Mar;36(3):653-658. doi: 10.1002/nau.22984. Epub 2016 Mar 2.
4
Clinical significance of intravesical prostatic protrusion in patients with benign prostatic enlargement.良性前列腺增生患者膀胱内前列腺突出的临床意义
Urology. 2007 Dec;70(6):1096-9. doi: 10.1016/j.urology.2007.08.008.
5
[Factors related to postoperative hydronephrosis following ureteroneocystostomy in neurogenic bladders].[神经源性膀胱行输尿管膀胱吻合术后与术后肾积水相关的因素]
Nihon Hinyokika Gakkai Zasshi. 1994 May;85(5):785-91. doi: 10.5980/jpnjurol1989.85.785.
6
Urodynamics in benign prostatic hyperplasia: a survey.良性前列腺增生的尿动力学：一项调查。
Prostate Suppl. 1989;2:69-77. doi: 10.1002/pros.2990150508.