Evaluation of Current Surgical BPH Interventions for Young and Elderly Men.

IF 2.5 2区医学 Q2 UROLOGY & NEPHROLOGY

Current Urology Reports Pub Date : 2024-05-01 Epub Date: 2024-03-12 DOI:10.1007/s11934-024-01198-5

Timothy W Brandt, Jacqueline M Luizzi, Ronald J Caras

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Abstract

Purpose of review: Benign prostatic hyperplasia affects the quality of life of a significant number of men, especially as they age. There are continuous innovations in the surgical management of benign prostatic hyperplasia, but many of these innovations are studied in the core population of men 50-70 years of age. This review focuses on the outliers of men aged 18-50 and 70 and older.

Recent findings: Older populations have more comorbidities, higher rates of antithrombotic medications, and advanced symptoms. Properly selected older men can safely have significant objective and subjective improvement in their symptoms. The literature was scarce when evaluating younger men; however, ejaculatory preserving techniques are promising providing improvement in symptoms and preserving ejaculation. This review demonstrates that in properly selected elderly patients, improvements in quality of life while also providing safe surgical interventions can be achieved. Ejaculatory preservation techniques demonstrate promising results, but further studies are required to elucidate true outcomes.

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评估目前针对年轻和老年男性的前列腺增生手术干预措施。

回顾的目的：良性前列腺增生症影响着大量男性的生活质量，尤其是随着年龄的增长。良性前列腺增生的手术治疗不断创新，但其中许多创新都是针对 50-70 岁男性这一核心人群进行研究的。本综述重点关注18-50岁和70岁及以上的离群男性：最近的发现：老年人群有更多的合并症、更高的抗血栓药物使用率和更严重的症状。经过适当选择的老年男性可以安全地明显改善主客观症状。对年轻男性进行评估的文献很少，但保留射精功能的技术很有希望改善症状并保留射精功能。本综述表明，对于经过适当选择的老年患者，可以在改善生活质量的同时提供安全的手术干预。射精功能保留技术显示出了良好的效果，但要阐明真正的结果还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.