잠시만 기다려 주세요. 로딩중입니다.

경요도전립선절제술을 시행받은 환자에서 방광출구폐색이 저장증상 호전에 미치는 영향

The Influences of Bladder Outlet Obstruction on Improvement of Storage Symptoms in Patients Who Underwent Transurethral Resection of Prostate

대한비뇨기과학회지 2008년 49권 10호 p.912 ~ 916
정호영 ( Chung Ho-Young ) - 건양대학교 의과대학 비뇨기과학교실

장영섭 ( Chang Young-Seop ) - 건양대학교 의과대학 비뇨기과학교실
송기학 ( Song Ki-Hak ) - 건양대학교 의과대학 비뇨기과학교실
한동석 ( Han Dong-Seok ) - 건양대학교 의과대학 비뇨기과학교실

Abstract


Purpose: To investigate the influences of preoperative bladder outlet obstruction(BOO) to be adjusted by age and prostate volume on improvement of storage symptoms in patients who underwent transurethral resection of prostate(TURP) in a long term follow up.

Materials and Methods: We performed retrospective study of 75 patients with benign prostatic hyperplasia(BPH) who had undergone TURP and preoperative urodynamics from July 2004 to December 2006. 18 patients of them were lost follow up in this period, so we analyzed 57 patients in this study. The degrees of BOO were measured by the Abrams-Griffiths (AG) number calculated according to the preoperative urodynamic data. International Prostate Symptom Score(IPSS) questionnaire were used to evaluate improvement of symptoms. Especially IPSS questions number 2, 4 and 7 were used to evaluate storage symptoms. Partial correlation analysis was done between the AG numbers and the degree of storage symptoms improvement, adjusted by the age and the prostate volume.

Results: There were significant decreases of the IPSS(p=0.029), storage symptom score(p=0.024) and frequency score(p=0.017) in BOO group compared to the non-BOO group. The changes of IPSS(?=?0.338, p=0.012), storage symptoms score(?=?0.292, p=0.031) and frequency symptom score (?=?0.305, p=0.023) were significantly correlated with AG number.

Conclusions: These results suggested that the preoperative AG number derived from urodynamics was an important factor in predicting the postoperative results. It would be expected that the patients with high AG numbers might be more improved storage symptom after TURP.

키워드

Prostatic hyperplasia;Urodynamics;Urinary bladder neck obstruction;Transurethral resection of prostate
원문 및 링크아웃 정보
   
등재저널 정보
KCI
KoreaMed
KAMS