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
其他诊断因素
- 发热和排尿困难
- 尿潴留
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
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
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
- 肾功能评估
治疗流程
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：前列腺体积 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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