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对良性前列腺增生症(BPH)中有症状的患者的治疗存在着一个值得商榷的问题:是立即考虑手术治疗还是有戒备地等待手术(Watchful Waiting)。如患者无慢性尿潴留并发症,则可作立即手术或戒备性等待的选择,而后者的基础是其BPH症状是否影响日常生活。在美国,每年约有35万BPH患者接受手术治疗。可见,手术是一个常见的选择。近年来,手术种类绝大多数为经尿道前列腺切除术(TURP),而能接受这类开放手术的适应证为巨大前列腺或需要同时进行膀胱手术者。然而是否要立即手术,其决定条件首先是肯定干扰患者日常生活的原因
There is a debatable issue with the treatment of symptomatic patients in benign prostatic hyperplasia (BPH): whether to undergo surgery immediately or Watchful Waiting. If the patient has no complications of chronic urinary retention, they may be given an immediate surgical or alert wait, with the latter based on whether their BPH symptoms affect daily life. In the United States, about 350,000 BPH patients undergo surgery per year. Visible, surgery is a common choice. In recent years, the vast majority of surgical procedures for transurethral resection of the prostate (TURP), and can accept this type of open surgery indications for the huge prostate or require simultaneous bladder surgery. However, whether to immediately surgery, the first decision is to determine the conditions that interfere with the daily life of patients