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방광출구폐색이 동반된 표재성 방광암 환자에서 동시에 시행한 경요도적 전립선 및 방광암 절제술의 의의

The Significance of Simultaneous Transurethral Resection of Bladder Tumor and the Prostate in Patient who have Superficial Bladder Cancer with Bladder Outlet Obstruction

대한비뇨기과학회지 2008년 49권 9호 p.791 ~ 796
함원식 ( Ham Won-Sik ) - 연세대학교 의과대학 비뇨기과학교실

최영득 ( Choi Young-Deuk ) - 연세대학교 의과대학 비뇨기과학교실
이동훈 ( Lee Dong-Hoon ) - 연세대학교 의과대학 비뇨기과학교실
김원태 ( Kim Won-Tae ) - 연세대학교 의과대학 비뇨기과학교실
전형진 ( Jeon Hyung-Jin ) - 연세대학교 의과대학 비뇨기과학교실

Abstract


Purpose: We evaluated the clinical significance of simultaneous transurethral resection of bladder tumor(TURB) and the prostate(TURP) in patients who have superficial bladder cancer with bladder outlet obstruction.

Materials and Methods: Between April 1997 to April 2006, 213 patients with superficial bladder cancer were included in this study. The patients were treated with TURB only(n=107, Group I) or TURB with TURP (n=106, Group II). Bladder cancer recurrence was observed by performing cystoscopy and urine cytology. Uroflowmetry was performed three months after surgery.

Results: There were no significant differences in age, the tumor size or the number of tumors between groups I and II. There was no evidence of cancer implantation where TURP was applied. The recurrence rate of group II was significantly lower than that of group I(p=0.044), and the time to recurrence was longer for group II than for group I(p=0.026). There was no significant difference in the progression rate between the two groups(p=0.788). Three months after surgery, the mean residual urine volume was lower for group II(7.9ml) than that for group I(21.7ml).

Conclusions: For superficial bladder cancer patients with bladder outlet obstruction, simultaneous TURB and TURP may help reduce the bladder cancer recurrence rate and delay the time to recurrence without the risk of cancer implantation at the site where TURP is applied.

키워드

Bladder cancer;Transurethral resection of prostate;Recurrence
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