(泌尿外科课件）14.315.1 BPHnephrosis知识介绍.pptVIP

Surgical Treatment Surgical Treatment Open Prostatectomy Not done routinely When prostate too large for TURP (100mL) Minimally Invasive  Surgical treatment TUMT-transurethral microwave therapy TUNA- transurethral needle ablation Urinary Stents Laser Prostatectomy-Holep holmium laser enucleation of the prostate Minimally Invasive  Surgical treatment TUMT(transurethral microwave therapy) Performed as a single outpatient visit under local anesthesia and an oral analgesic. Improves symptom scores and urinary flow rates Minimally Invasive  Surgical treatment TUNA (transurethral needle ablation) An office procedure performed under local anesthesia- improves symptom scores and urinary flow rates It uses specially designed catheter through which interstitial radio-frequency needles are deployed from the tip of it. They will heat the tissue resulting in coagulative necrosis The entire procedure lasts 30-60 minutes A catheter is left for 1-4 days after the procedure Company Logo LOGO Urinary Obstruction Benign Prostatic Hyperplasia (BPH) Introduction Etiology Clinical Manifestation Dignosis Treatment Benign prostatic hyperplasia(BPH) Anatomy and physiology The prostate is a part of the male reproductive system Function is to store and secrete a clear fluid(Prostatic fluid) that constitutes 10-30% of the volume of the seminal fluid Pass way of urine located below the bladder In front of the rectum surrounding the urethra Anatomy and physiology Definition BPH is a nonmalignant enlargement of the prostate gland caused by cellular hyperplasia of both glandular and stromal elements that leads to troublesome lower urinary tract symptoms (LUTS) in some men It is the most common benign tumor in men and is not a precancerous condition Etiology of BPH Androgens Ageing Lifestyle Hereditary(genetic)/Race Androgen (Functional testicle): the prostate is an androgen dependent organ, thus the hyperplasia of p