尿道狭窄症診療ガイドライン　2024年版

出版社： 医学図書出版
著者：
発行日： 2024-04-15
分野： 臨床医学：外科  >  泌尿器科学
ISBN： 9784865175837
電子書籍版： 2024-04-15 （第1版）
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本邦初の尿道狭窄症診療ガイドライン！
尿道狭窄症の治療に携わるすべての医療従者にお届けする診療ガイドライン。
8つのCQと基礎的な臨床背景を網羅したBQで構成された充実の内容です。

目次

  • 本ガイドラインについて

    略語一覧

    Background Question

    BQ1　用語と疫学
    （1）尿道狭窄症に関連する用語の解説
    （2）尿道の解剖
    　　1．男性尿道の解剖
    　　2．女性尿道の解剖
    （3）尿道狭窄症の原因疾患と頻度
    　　1．尿道狭窄症の病態
    　　2．尿道狭窄症の罹患率
    　　3．尿道狭窄症の原因と部位
    　　4．尿道狭窄症の分類に関する試み

    BQ2　尿道狭窄症の臨床症状，検査，診断
    （1）尿道狭窄症を疑う臨床症状
    （2）特徴的な身体所見
    　　1．腹部の診察
    　　2．外陰部の診察
    　　3．口腔内の診察
    　　4．体位の確認
    （3）尿流測定（UFM）と残尿量（PVR）
    　　1．UFM
    　　2．PVR
    （4）画像検査
    　　1．逆行性尿道造影（RUG）と排尿時膀胱尿道造影（VCUG）
    　　2．尿道超音波検査（SUG）
    　　3．膀胱尿道鏡
    　　4．MRI
    　　5．CT
    （5）患者報告アウトカム評価（PROM）

    BQ3　治療
    （1）尿道狭窄症治療の診療パターン
    　　1．尿道狭窄症の治療の変遷
    　　2．尿道狭窄症の診療パターン
    　　3．Reconstructive ladder という治療方針
    　　4．専門施設化と教育システム
    　　5．近年の診療パターンの変化
    （2）経尿道的治療
    　　1．尿道拡張
    　　2．内尿道切開術（DVIU）
    　　3．経尿道的治療に対する補助的手技
    （3）尿道形成術
    　　1．尿道吻合術（anastomotic urethroplasty）
    　　2．代用組織を利用した尿道形成術）
    （4）狭窄部位別の治療
    　　1．亀頭部尿道（外尿道口・舟状窩）
    　　2．陰茎部尿道
    　　3．球部尿道
    　　4．前部尿道全長狭窄
    　　5．膜様部尿道
    　　6．膀胱頸部
    　　7．女性の尿道狭窄症
    　　8．小児の尿道狭窄症
    （5）尿道狭窄症治療　周術期管理について
    　　1．尿道の安静（urethral rest）
    　　2．抗菌薬の使用
    　　3．尿道カテーテル管理

    BQ4　フォローアップ
    （1）治療効果判定
    （2）尿道狭窄症治療の晩期合併症
    　　1．尿失禁
    　　2．男性機能障害
    　　3．陰茎短縮・屈曲
    （3）術後経過観察の頻度と期間

    Clinical Question
    CQ 一覧
    　　CQ1　尿道狭窄症において尿道形成術は経尿道的治療に比べて推奨されるか？
    　　CQ2　経尿道的治療後に再狭窄した尿道狭窄症において，尿道形成術は
    　　　　　経尿道的治療を繰り返すことに比べて推奨されるか？
    　　CQ3　尿道狭窄症において内尿道切開術（DVIU）で使用されるデバイスとして
    　　　　　cold knifeはhot knifeやレーザーに比べて推奨されるか？
    　　CQ4　尿道狭窄症における経尿道的治療では，内尿道切開術（DVIU）と尿道拡張のどちらが推奨されるか？
    　　CQ5　尿道狭窄症における経尿道的治療後の間欠的セルフブジーは推奨されるか？
    　　CQ6　尿道形成術はどのような施設，どのような医師が行うべきか？
    　　CQ7　狭窄の短い球部尿道狭窄症において，non-transecting EPA（ntEPA）はEPAより推奨されるか？
    　　CQ8　代用組織を利用した尿道形成術で口腔粘膜は陰茎包皮と比べて推奨されるか？

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

Background Question

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Clinical Question

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