Surgical procedures for benign prostatic hyperplasia: A nationwide survey in Japan
Surgical procedures for benign prostatic hyperplasia: A nationwide survey in Japan
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DOI：
10.1111/j.1442-2042.2010.02687.x
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发表时间：
2011-02-01
影响因子：
2.6
通讯作者：
Homma, Yukio
中科院分区：
文献类型：
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作者：
Masumori, Naoya;Kamoto, Toshiyuki;Homma, Yukio
我们调查了过去10年日本良性前列腺增生症(BPH)外科手术的趋势。向日本泌尿外科学会和/或日本临床泌尿科医师协会的1824个研究所发出了一份问卷，询问1999年、2004年和2009年治疗良性前列腺增生症的手术和外科手术的次数。来自767个机构的回复(42.1%)。手术次数在这10年中逐渐增加(1999年为17221例，2004年为18772例，2009年为20413例)。经尿道前列腺电切术，包括经尿道生理盐水电切术，一直是最常见的手术(72.5%至79.2%)。尽管2009年开放的前列腺摘除术仍是一个可行的选择(n=555)，但经尿道和经尿道双极系统的前列腺癌摘除手术显著增加，在2009年成为第二常见的手术(n=3416)。2009年，选择性前列腺汽化术是第三种最常见的方法(n=572)。凝固术和热疗变得不常见(1999年为2039例，2009年为217例)，而切开和支架置入术在此期间没有变化。因此，在过去的十年里，日本的前列腺增生症的外科手术一直在增加。经尿路电切术仍然是标准手术，而眼球摘除和汽化手术一直在增加。
We investigated the trend in surgical procedures for benign prostatic hyperplasia (BPH) during the past 10 years in Japan. A questionnaire inquiring about the number of operations and surgical procedures for BPH in 1999, 2004 and 2009 was sent to 1824 institutes belonging to the Japanese Urological Association and/or the Japanese Clinical Urologists Association. Responses were obtained from 767 institutes (42.1%). The number of operations showed a gradual increase during the 10 years (n = 17 221 in 1999, 18 772 in 2004, 20 413 in 2009). Transurethral resection of the prostate, including transurethral resection in saline, was consistently the most common procedure (72.5% to 79.2%). Holmium laser enucleation of the prostate and transurethral enucleation with a bipolar system have dramatically increased, becoming the second most common in 2009 (n = 3416), although enucleation by open prostatectomy was still a viable option in 2009 (n = 555). Photoselective vaporization of the prostate was the third most common method in 2009 (n = 572). Coagulation and thermotherapy have become uncommon (n = 2039 in 1999, 217 in 2009), whereas incision and stenting were unchanged during the period. Thus, surgical procedures for BPH have been increasing in Japan during the past decade. Transurethral resection remains the standard, whereas enucleation and vaporization have been increasing.