Treatment of benign prostatic hyperplasia: Update and future

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urological Science Pub Date : 2023-04-01 DOI:10.4103/UROS.UROS_134_22
Tai-Hua Chiu, Yi-Hsuan Wu, Yung-Chin Lee
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Abstract

Benign prostatic hyperplasia (BPH) is one of the widespread diseases affecting aging males globally. As prostatic cell proliferation, it clinically influences a great degree of bladder outlet obstruction and is characterized by bothersome lower urinary tract symptoms. Assessments and treatments should not only be conducted based on the prostate volume or condition, related symptoms and quality of life should be considered also. The present analysis focuses on the update of management for BPH, including pharmacotherapy and slightly invasive surgical options. Despite alpha-1 adrenoceptor antagonists, many other factors and even combination therapy were extensively studied. Regarding slightly invasive surgical treatments, including Aquablation, water vapor thermal therapy, prostatic artery embolization, prostatic urethral lift, and nitinol butterfly-like stent, we analyzed the latest findings of studies, as well as safety issues. Finally, we highlighted current guidelines for clinical practice and future direction for further investigation.
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良性前列腺增生症的治疗:最新进展和未来
良性前列腺增生(BPH)是影响全球老年男性的普遍疾病之一。作为前列腺细胞增生,临床上对膀胱出口梗阻影响很大,以下尿路症状为特征。评估和治疗不仅应根据前列腺的体积或状况进行,还应考虑相关症状和生活质量。目前的分析侧重于BPH管理的更新,包括药物治疗和微创手术选择。除了α -1肾上腺素受体拮抗剂外,许多其他因素甚至联合治疗也被广泛研究。对于微创手术治疗,包括水消融、水蒸气热疗、前列腺动脉栓塞、前列腺尿道提升、镍钛诺蝴蝶状支架等,我们分析了最新的研究结果,以及安全性问题。最后,我们强调了目前临床实践的指导方针和未来进一步研究的方向。
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来源期刊
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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