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攝護腺癌_ 台大醫學院课件.ppt

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攝護腺癌_ 台大醫學院课件

* * * * * * * * * * * * * * * * * * * * * * * Treatment options for BPH include watchful waiting, medical therapy, and various surgical procedures.1-3 Symptom improvement with medical treatment is less than that with surgical procedures. The mean probability of symptomatic improvement is 74% with an ?-adrenergic blocker versus 98% with an open prostatectomy.2 However, disadvantages of surgery include invasiveness, a period of recuperation and, in the case of open surgery, a comparatively prolonged hospitalization.3 Today, ?-adrenergic blockers, which inhibit contraction of prostatic smooth muscle, are first-line treatment for LUTS/BPH. Another pharmacologic option is the 5ARI, finasteride, which lowers prostatic androgen levels and can result in some decrease in prostate size. Chatelain C, Denis L, Foo JKT, et al. 5th International Consultation on BPH. Recommendations of the International Scientific Committee: Evaluation and treatment of lower urinary tract symptoms (LUTS) in older men. In: Chatelain C et al, eds. Benign Prostatic Hyperplasia. Plymouth, UK: Health Publication Ltd; 2001:519-534. McConnell JD, Barry MJ, Bruskewitz RC, et al. Benign Prostatic Hyperplasia: Diagnosis and Treatment. Clinical Practice Guideline, Number 8. AHCPR Publication No. 94-0582. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services. February 1994. Columbia University website. Therapies for the treatment of benign prostatic hyperplasia (BPH). Available at /dept/urology/bphtherapy.html#translas. Accessed 8/23/01. Dreikorn K, Lowe I, Borkowski A, et al. Other medical therapies. In: Chatelain C et al, eds. Benign Prostatic Hyperplasia. Plymouth, UK: Health Publication Ltd; 2001;479-511. * * * * * * * * * * * * * * * * * 結石發生STONE FORMATION 尿液太濃Abnormal crystalluria (supersaturation) 代謝異常Metabolic derangement (genetic, hormone, diet, environment) 尿路結構異常Anatomic abnormality 結石分析STONE ANALYSIS 含鈣Calcium stone：