Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline
Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline
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DOI：
10.1016/j.juro.2018.05.048
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发表时间：
2018-09-01
影响因子：
6.6
通讯作者：
McVary, Kevin T.
中科院分区：
文献类型：
--
作者：
Foster, Harris E.;Barry, Michael J.;McVary, Kevin T.
目的：良性前列腺增生（BPH）继发的男性下尿路症状（LUTS）在男性中很常见，可能对生活质量（QoL）产生负面影响。材料和方法：证据小组检索了奥维德MEDLINE、科克伦图书馆和美国医疗保健研究和质量局（AHRQ）数据库，以确定2007年1月至2017年9月期间索引的研究。当存在足够的证据时，为支持强、中或有条件的建议，将证据主体的强度评级指定为A（高）、B（中等）或C（低）。在缺乏足够证据的情况下，额外的信息作为临床原则和专家意见提供（补充未删节指南中的表1，http：//jurology.com/）。结果：本指南提供了关于利用手术和微创手术治疗管理LUTS/BPH的最新循证建议;关于诊断和术前检查的额外声明。与公认的金标准（即经尿道前列腺切除术[TURP]-单极和/或双极）进行比较，做出临床声明。本指南的目的是与相关的治疗algorithm.Conclusions：LUTS的患病率和严重程度增加，男性年龄，是一个重要的诊断，在医疗保健的患者和社会的福利。随着对当前治疗和未来手术选择的了解不断扩大，本文件将进行额外的文献综述和更新。
Purpose: Male lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is common in men and can have negative effects on quality of life (QoL). It is the hope that this Guideline becomes a reference on the effective evidence-based surgical management of LUTS/BPH.Materials and Methods: The evidence team searched Ovid MEDLINE, the Cochrane Library, and the Agency for Healthcare Research and Quality (AHRQ) database to identify studies indexed between January 2007 and September 2017. When sufficient evidence existed, the body of evidence was assigned a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions (table 1 in supplementary unabridged guideline, http://jurology.com/).Results: This Guideline provides updated, evidence-based recommendations regarding management of LUTS/BPH utilizing surgery and minimally invasive surgical therapies; additional statements are made regarding diagnostic and pre-operative tests. Clinical statements are made in comparison to what is generally accepted as the gold standard (i.e. transurethral resection of the prostate [TURP]-monopolar and/or bipolar). This guideline is designed to be used in conjunction with the associated treatment algorithm.Conclusions: The prevalence and the severity of LUTS increases as men age and is an important diagnosis in the healthcare of patients and the welfare of society. This document will undergo additional literature reviews and updating as the knowledge regarding current treatments and future surgical options continues to expand.