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Are prostatic calculi independent predictive factors of lower urinary tract symptoms？

Asian Journal of Andrology 2010年第2期12卷 221-226页

作者： Sung-Woo Park Jong-Kil Nam Sang-Don Lee Moon-Kee Chung Medical Research Institute and Department of Urology Pusan National University Yangsan Hospital Yangsan 626-770Korea

We determined the correlation between prostatic calculi and lower urinary tract symptoms （LUTS）,as well as the predisposing factors of prostatic calculi. Of the 1 527 patients who presented at our clinic for LUTS,802underwent complete evaluations,including transrectal ultrasonography,voided bladder-3 specimen and international prostatic symptoms score （IPSS）. A total of 335 patients with prostatic calculi and 467 patients without prostatic calculi were divided into calculi and no calculi groups,respectively. Predictive factors of severe LUTS and prostatic calculi were determined using uni/multivariate analysis. The overall IPSS score was 15.7±9.2 and 14.1±9.1 in the calculi and no calculi group,respectively （P = 0.013）. The maximum flow rate was 12.1±6.9 and 14.2±8.2 mL s^（-1） in the calculi and no calculi group,respectively （P = 0.003）. On univariate analysis for predicting factors of severe LUTS,differences on age （P = 0.042）,prostatic calculi （P = 0.048） and prostatitis （P = 0.018） were statistically significant. However,on multivariate analysis,no factor was significant. On multivariate analysis for predisposing factors of prostatic calculi,differences on age （P〈0.001） and prostate volume （P = 0.001） were significant. To our knowledge,patients who have prostatic calculi complain of more severe LUTS. However,prostatic calculi are not an independent predictive factor of severe LUTS. Therefore,men with prostatic calculi have more severe LUTS not only because of prostatic calculi but also because of age and other factors. In addition,old age and large prostate volume are independent predisposing factors for prostatic calculi.

关键词： micturition prostate prostatic diseases

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Update on minimally invasive surgery and benign prostatic hyperplasia

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Asian Journal of Urology 2018年第1期5卷 22-27页

作者： Amanda S.J.Chung Henry H.Woo Eastern Virginia Medical School NorfolkVAUSA Sydney Adventist Hospital Clinical School University of SydneySydneyNSWAustralia

Transurethral resection of the prostate(TURP)became the gold standard surgical treatment for benign prostatic obstruction without undergoing randomized controlled trials against the predecessor standard in open suprapubic *** has historically been associated with significant morbidity and this has fuelled the development of minimally invasive surgical treatment *** in perioperative morbidity for TURP has been creating an ever increasing standard that must be met by any new technologies that are to be compared to this gold *** recent years,there has been the emergence of novel minimally invasive treatments such as the prostatic urethral lift(PUL;UroLift System),convective WAter Vapor Energy(WAVE;Rezum System),Aquablation(AQUABEAM System),Histotripsy(Vortx Rx System)and temporary implantable nitinol device(TIND).Intraprostatic injections(NX-1207,PRX-302,botulinum toxin A,ethanol)have mostly been used with limited efficacy,but may be suitable for selected *** review evaluates these novel minimally invasive surgical options with special reference to the literature published in the past 5 years.

关键词： prostatic hyperplasia prostatic diseases Minimally invasive surgical procedures Injections Botulinum toxin A Ethanol Transurethral resection of prostate Lasers Prostatectomy

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Proceedings of the 7th Congress of the Mediterranean Urological Association : Marrakech, Morocco, September 3-6, 2001

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2001年

作者：匿名

来源：畅想之星图书光盘版（南... 评论

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