良性前列腺增生

最后审阅: 4 九月 2022
最后更新: 27 一月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 憋尿症状
  • 排尿症状
更多 关键诊断因素

其他诊断因素

  • 发热和排尿困难
  • 尿潴留
其他诊断因素

危险因素

  • 50 岁以上
  • BPH 家族史
  • 非亚洲种族
  • 吸烟
  • 男人型脱发
  • 代谢综合征
更多 危险因素

诊断性检查

首要检查

  • 尿液分析
  • 前列腺特异性抗原 (PSA)
  • 国际前列腺症状评分
  • 尿量图表记录
更多 首要检查

需考虑的检查

  • 超声
  • 腹部/盆腔 CT
  • MRI 腹部/盆腔
  • 膀胱镜检查
  • 尿流测量
  • 尿流动力学检查
更多 需考虑的检查

治疗流程

急症处理

非困扰性症状

困扰性症状,但无手术适应证

症状造成困扰且有手术适应证:前列腺体积 ≤30 g

症状造成困扰且有手术适应证:前列腺质量 30-80 g

症状造成困扰且有手术适应证:前列腺体积 ≥80 g

撰稿人

作者

Claus Roehrborn, MD

Professor

Urology

University of Texas Southwestern Medical Center

Dallas

TX

利益声明

CR is on an ad board for Teleflex; consults for Teleflex, Zenflow, and Medeon; and has done research with Zenflow and Teleflex. CR is an author of several references cited in this topic.

Ramy Goueli, MD

Assistant Professor

Urology

University of Texas Southwestern Medical Center

Dallas

TX

利益声明

RG declares that he has no competing interests.

鸣谢

Professor Claus Roehrborn and Dr Ramy Goueli would like to gratefully acknowledge Professor Michael T. Flannery and Dr Erika Abel, the previous contributors to this topic. Regretfully, Professor Flannery died in December 2020.

利益声明

EA declares that she has no competing interests.

同行评议者

Christopher R. Chapple, BSc, MD, FRCS (Urol), FEBU

Consultant Urological Surgeon

Royal Hallamshire Hospital

Honorary Senior Lecturer of Urology

University of Sheffield

Newcastle University

Visiting Professor of Urology

Sheffield Hallam University

Adjunct Secretary responsible for Education

European Association of Urology

Sheffield

UK

利益声明

CRC is Chairman of NICE Male LUTS Guidelines Development Group.

Robert Pickard, MD, FRCS (Urol)

Professor of Urology

Institute of Cellular Medicine

Newcastle University

Newcastle upon Tyne

UK

利益声明

RP has received funding from the UK NHS (NIHR) to undertake commissioned reviews of treatment for benign prostatic enlargement.

Steven K. Brooks, MD

Chief

Department of Surgery

South Seminole Hospital

Longwood

FL

利益声明

SKB is a member of the National Speakers Bureau for Boehringer Ingelheim, Astellas Pharmaceuticals, and Glaxo Pharmaceuticals and has served as a consultant for these companies.

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    • 前列腺炎
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    更多 鉴别诊断
  • 指南

    • 疑似癌症:识别和转诊
    • 良性前列腺增生所致下尿路症状的管理
    更多 指南
  • 患者教育信息

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    前列腺肥大:如何有效治疗?

    更多 患者教育信息
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    前列腺疾病症状评分

    更多 医学计算器
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