AUA前列腺增生诊疗指南解读_2022年学习资料

三、BPH诊断-·症状及症状评分-AUA-SI、BPH Impact-Index或I-PSS-·排尿日记f equency volume chart-·DRE和膀胱触诊-·尿常规-பைடு நூலகம்TRUS-·PSA-·尿流率和尿 力学-·CT/MRI
AUA男性LUTS诊断程序-Basic Management of LUTS in Men-RECOMME DED TESTS:-Complicated-CAUSE LITTLE OR-LUTS:-NO BOTHE -RELEVANT MEDICAL HISTORY-SUSPICIOUS DRE-ASSESSMENT O LUTS-HEMATURIA-SEVERITY AND BOTHER i.e.AUA-SI--ABNOR AL PSA-PHYSICAL EXAMINATION INCLUDING-PAIN-INFECTION3 URINALYSIS-REASSURANCE-SERUM PSA1-PALPABLE BLADDER-AN FOLLOW-UP-FREQUENCY/VOLUME CHART2-NEUROLOGICAL DISEA E-PREDOMINANT-SIGNIFICANT NOCTURIA-BOTHERSOME LUTS-FR QUENCY-VOLUME CHART-NO POLYURIA-Polyuria-①-STANDARD T EATMENT-24-hour output 2 3 liters-Lifestyle and fluid intake is-ALTER MODIFIABLE FACTORS-to be reduced-·DRU 5-·FLUID&FOOD INTAKE-②-Nocturnal polyuria-LIFESTYLE A VICE-≥33%output at night-Fluid intake to be reduced-onsider other causes-DRUG TREATMENTS-FAILURE-SUCCESS N-RELIEVING-Whon life oxpectancy is>10 years and if t e-Womnan-Amtomnd tart treatment before referral.-In p actice,advise patients with symptoms to-aim for a uri e output ofa白out111ter/24hour移-CONTINUE-See Figure 2ETAILED MANAGEMENT
二、前列腺增生及LUTS相关术语-前列腺增生BPH:病理学定义-下尿路症状LUTS:症状学定义-BPH是一 非神经原性男性下尿路症状non-neurogenic male lower-urinary tract s mptoms.,伴随前列腺增大BPE一储尿期症-状、排尿期症状、排尿后症状-1.储尿期症状：尿频、夜尿增多 OAB、UAB（膀胱活动过低-2.排尿期症状：排尿困难、B00BP0-3.排尿后症状：尿滴沥、尿不尽（残余 ）
AUA-前列腺增生诊疗指南解读
指南的编撰-二-前列腺增生BPH及LUTS相关术语-三、-BPH诊断-四.BPH治疗-American U ological-五.2017AUA年会BPH研究亮点-Association Guideline:-Ma agement of Benign-Prostatic HyperplasiaBPH
四、BPH的治疗-·基本病情管理Basic Management-饮水量、饮食、排尿习惯等-治疗措施-1观 等待watchful Waiting,V-WW-基本病情管理+定期检查
2药物治疗-·α -受体阻滞剂-Alfuzosin,doxazosin,-tamsulosin,terazo in,si lodosin-西洛多辛，快速、有效缓解功能性B00。-以上药物在有效性上安全性（体位性低血压 上无明显差异；-近年来对长期服用ā-受体阻滞剂的BPH老年患者行白内障时经常发-生虹膜松弛综合征（intr operative floppy一iris syndrome,I-IFIS-，表现为三联征：虹膜松弛、涌动 虹膜易从主切口或侧切口脱出-；术中进行性瞳孔收缩。应引起广泛注意！
一、指南的编撰-2010年版，2014年进行修订-●-2003年版的延续-1999-2013年间的文献综述 分析-三种指南指导强度：-标准（standard、推荐recommendat ion、-可选optionAU Guidelines on-Management of-Non-Neurogenic-Male Lo er Urinary-·与EAU相比相对稳定-Tract Symptoms-LUTS,incl.-Beni n Prostatic-Obstruction BPO-eau
·5a-还原酶抑制剂-Finasteride Dutasteride-长期服用可缩小前列腺、改善症状、降低 UR风险和手术几率-副作用：ED、性欲下降、射精功能紊乱、精液质量下降、未排除前列腺-癌时禁用；
LUTS病因-良性前列腺梗阻BP0-Benign-prostatic-逼尿肌失活-Detrusor-obs ruction-under--Others-其它-activity-Overactive-膀胱过度活动-b adder/-Distal-ureteric-/逼尿肌过度活动-detrusor-输尿管远端结石-over ctivity-stone-夜尿增多-Nocturnal-polyuria-Bladder-tumour胱肿瘤-Chronic-慢性盆底痛综合征-pelvic pain-Urethral-stricture-尿 狭窄-syndrome-Neurogenic-神经原性膀胱dysunctio-Foreign-Urinar -body-异物-tract-infection-尿路感染