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AB044. Application of platelet rich plasma (PRP) in urological disorders

机译:AB044。富血小板血浆(PRP)在泌尿外科疾病中的应用

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摘要

Platelet rich plasma (PRP) is a kind of self-derived product that contains high concentrations of growth factors and active protein. It was found to have neuroprotective function and can promote nerve regeneration. It was also reported to have a role helping metabolism, tissue repair and healing. At the same time, it has the advantages of easy preparation and biosafety. Recently, PRP is considered a highly expected clinical treatment for male erectile dysfunction (ED). However, although clinical attempts have been made to treat ED using PRP, a paucity of evidence exists regardless of underlying mechanism or clinical studies. We reported that injection of PRP into the corpus cavernosum can promote nerve regeneration and erectile function recovery in a rat model of bilateral cavernous nerve injury. The treatment of PRP prevented the apoptosis of corporal smooth muscle cell. In addition to ED, we also found the bladder condition improved after PRP instillation in a rat model of ketamine cystitis. A recent clinical study reported that repeated intravesical PRP injections are well tolerated and appear to be safe and effective in medically refractive interstitial cystitis (IC)/bladder pain syndrome (BPS), providing significant symptom improvement.
机译:富血小板血浆(PRP)是一种自衍生产品,其中包含高浓度的生长因子和活性蛋白。发现它具有神经保护功能并可以促进神经再生。据报道它还具有帮助新陈代谢,组织修复和愈合的作用。同时,它具有易于制备和生物安全的优点。最近,PRP被认为是男性勃起功能障碍(ED)的高度期望的临床治疗方法。然而,尽管已经进行了尝试使用PRP治疗ED的临床尝试,但是无论基础机制或临床研究如何,都缺乏证据。我们报道了在双侧海绵体神经损伤的大鼠模型中,向海绵体注入PRP可以促进神经再生和勃起功能的恢复。 PRP的治疗阻止了身体平滑肌细胞的凋亡。除ED外,我们还发现氯胺酮膀胱炎大鼠模型中PRP滴注后膀胱状况得到改善。最近的一项临床研究报道,反复进行膀胱内PRP注射耐受性良好,并且在医学上屈光性间质性膀胱炎(IC)/膀胱疼痛综合征(BPS)中似乎是安全有效的,可改善症状。

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