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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 278 - 285 (8page)
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Purpose: To evaluate the efficacy of holmium laser enucleation of the prostate (HoLEP) in relation to prostate size and urodynamic parameters, including bladder outlet obstruction index (BOOI), presence of detrusor overactivity, and detrusor contractility, and to investigate factors predictive of HoLEP success.
Methods: This retrospective analysis of prospective data included 174 consecutive patients treated with HoLEP at Samsung Medical Center from 2009 to 2013. Prostate-specific antigen, prostate size, urodynamic parameters, and International Prostate Symptom Score (IPSS)/quality of life (QoL) were evaluated preoperatively, while prostate-specific antigen, uroflowmetry/postvoid residual (PVR) urine, and IPSS were measured six months after HoLEP. Two definitions of treatment success were established based on the following three variables: IPSS, maximum flow rate (Qmax), and QoL index. Factors predictive of HoLEP success were identified using multiple logistic regression analysis.
Results: IPSS/QoL, Qmax, and PVR improved significantly following HoLEP. Improvements in IPSS and PVR were more significant in the BOOI≥40 group compared to the BOOI<40 group, with overall success rates of 93.7% and 73.6%, respectively.
Thus, the BOOI≥40 group had a significantly higher success rate, and BOOI≥40 was a significant predictor of HoLEP success based on the multivariate analyses.
Conclusions: We found good surgical outcomes after HoLEP, and specifically patients with a higher BOOI had a greater chance of surgical success.
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참고문헌 (20)
참고문헌 신청
Abrams P / 1999 / Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function / BJU
Ahyai SA / 2010 / Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic e
Elzayat EA / 2005 / Holmium laser enucleation of the prostate: a size-independent new “gold standard” / Urology 66 (5 Suppl) : 108 ~ 113
Fayad AS / 2011 / Holmium laser enucleation versus bipolar resection of the prostate: a prospective randomized study. Which to choose / J Endourol 25 : 1347 ~ 1352
Gilling PJ / 1995 / Combination holmium and Nd:YAG laser ablation of the prostate: initial clinical experience / J Endourol 9 : 151 ~ 153
Ahyai SA / 2010 / Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic e
Elzayat EA / 2005 / Holmium laser enucleation of the prostate: a size-independent new “gold standard” / Urology 66 (5 Suppl) : 108 ~ 113
Fayad AS / 2011 / Holmium laser enucleation versus bipolar resection of the prostate: a prospective randomized study. Which to choose / J Endourol 25 : 1347 ~ 1352
Gilling PJ / 1995 / Combination holmium and Nd:YAG laser ablation of the prostate: initial clinical experience / J Endourol 9 : 151 ~ 153
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