良性前列腺增生的内科-外科治疗管理

Oyovwi Mega Obukohwo
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引用次数: 0

摘要

虽然良性前列腺增生(BPH)是一种影响许多老年人的疾病,但与药物治疗相比,手术治疗已经取得了显着进步。而不是解决疾病本身,医学治疗只是解决症状。由于大多数老年患者会有糖尿病和高血压等合并症,手术可能不是每个人的选择,这使得医疗护理更广泛。值得注意的是,尽管TURP、TUIP、TVP、TUMT和TUNA仍然是治疗的金标准,但药物治疗仍然提供了恢复和避免手术的希望。但我们必须意识到,最近发现的这些药物对老年男性的负面影响,尤其是在很长一段时间内。虽然它们并不适合每一个病人,但新的微创手术已经为那些药物治疗失败但不是手术候选人或希望避免手术的老年男性显示了希望。在为你的前列腺增生患者选择治疗方案之前,与他们讨论治疗的风险、优势、副作用和替代方案是至关重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medico-Surgical Therapeutic Management of Benign Prostatic Hyperplasia
Although benign prostatic hyperplasia (BPH), a condition that affects many elderly people, is frequent, surgical treatment for BPH has advanced significantly in comparison to medicinal care. Instead of addressing the disease itself, medical treatment just addresses the symptoms. Due to the fact that the majority of senior patients will have comorbid conditions like diabetes and hypertension, surgery may not be an option for everyone, making medical care more widely available. Notably, even while TURP, TUIP, TVP, TUMT, and TUNA continue to be the gold standards for treatment, medicinal therapy still offers hope for recovery and averting surgery. But one must be aware of the recently identified negative effects that these drugs can have in the elderly male, especially over a lengthy period of time. Though they are not appropriate for every patient, novel minimally invasive procedures have shown promise for the elderly male who has failed medicinal therapy but is not a surgical candidate or wishes to avoid surgery. Before choosing a course of treatment for your BPH patient, it’s crucial to talk with them about the risks, advantages, side effects, and alternatives.
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