Minimally invasive surgical therapies (MISTs) for lower urinary tract symptoms (LUTS): promise or panacea?
| Autor: | Gian Maria Busetto, Andrea Checchia, Marco Recchia, Edoardo Tocci, Ugo G Falagario, Gennaro Annunziata, Pasquale Annese, Nicola d'Altilia, Vito Mancini, Matteo Ferro, Felice Crocetto, Octavian Sabin Tataru, Luca Di Gianfrancesco, Angelo Porreca, Francesco Del Giudice, Ettore De Berardinis, Carlo Bettocchi, Luigi Cormio, Giuseppe Carrieri |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Asian Journal of Andrology, Vol 26, Iss 2, Pp 135-143 (2024) |
| Druh dokumentu: | article |
| ISSN: | 1008-682X 1745-7262 |
| DOI: | 10.4103/aja202357 |
| Popis: | The increasing importance of treatment of lower urinary tract symptoms (LUTS), while avoiding side effects and maintaining sexual function, has allowed for the development of minimally invasive surgical therapies (MISTs). Recently, the European Association of Urology guidelines reported a paradigm shift from the management of benign prostatic hyperplasia (BPH) to the management of nonneurogenic male LUTS. The aim of the present review was to evaluate the efficacy and safety of the most commonly used MISTs: ablative techniques such as aquablation, prostatic artery embolization, water vapor energy, and transperineal prostate laser ablation, and nonablative techniques such as prostatic urethral lift and temporarily implanted nitinol device (iTIND). MISTs are becoming a new promise, even if clinical trials with longer follow-up are still lacking. Most of them are still under investigation and, to date, only a few options have been given as a recommendation for use. They cannot be considered as standard of care and are not suitable for all patients. Advantages and disadvantages should be underlined, without forgetting our objective: treatment of LUTS and re-treatment avoidance. |
| Databáze: | Directory of Open Access Journals |
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