Zheng Chenghao, Zhu Yiping, Jing Yifeng, Xia Shujie
Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Curr Urol. 2025 Jul;19(4):247-252. doi: 10.1097/CU9.0000000000000287. Epub 2025 May 27.
Benign prostatic hyperplasia is commonly observed in older men, and surgery is the primary treatment. Management of prostatic hyperplasia nodules, especially embedded capsular hyperplasia nodules, is crucial for reducing the incidence of postoperative complications and the need for repeat surgery. We summarize the sources of prostatic hyperplasia nodules, relationship between the nodules and the surgical capsule of the prostate, advantages and disadvantages of various surgical procedures for hyperplasia nodules, and impact of surgery on the incidence of postoperative complications. Additionally, we share our experience with the management of embedded capsular hyperplasia nodules using thulium laser enucleation of the prostate. We hope that doctors will pay attention to the management of embedded capsular hyperplasia nodules during prostate surgery in their clinical practice.
良性前列腺增生在老年男性中较为常见，手术是主要的治疗方法。前列腺增生结节的处理，尤其是包膜内增生结节的处理，对于降低术后并发症的发生率和再次手术的必要性至关重要。我们总结了前列腺增生结节的来源、结节与前列腺手术包膜的关系、各种增生结节手术方法的优缺点以及手术对术后并发症发生率的影响。此外，我们分享了使用铥激光前列腺剜除术处理包膜内增生结节的经验。我们希望医生在临床实践中进行前列腺手术时，能够关注包膜内增生结节的处理。
