지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 46 - 52 (7page)
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초록· 키워드
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Purpose: Currently, holmium laser enucleation of the prostate (HoLEP) and transurethral resection of the prostate (TURP) are the standard surgical procedures used to treat benign prostatic hyperplasia (BPH). Several recent studies have demonstrated that the surgical management of BPH in patients with detrusor underactivity (DU) can effectively improve voiding symptoms, but comparative data on the efficacy of HoLEP and TURP are insufficient. Therefore, we compared the short-term surgical outcomes of HoLEP and TURP in patients with DU.
Methods: From January 2010 to May 2015, 352 patients underwent HoLEP or TURP in procedures performed by a single surgeon. Of these patients, 56 patients with both BPH and DU were enrolled in this study (HoLEP, n=24; TURP, n=32). Surgical outcomes were retrospectively compared between the 2 groups. DU was defined as a detrusor pressure at maximal flow rate of <40 cm H2O as measured by a pressure flow study.
Results: The preoperative characteristics of patients and the presence of comorbidities were comparable between the 2 groups.
The TURP group showed a significantly shorter operative time than the HoLEP group (P=0.033). The weight of the resected prostate was greater in the HoLEP group, and postoperative voiding parameters, including peak flow rate and postvoid residual urine volume were significantly better in the HoLEP group than in the TURP group.
Conclusions: HoLEP can be effectively and safely performed in patients with DU and can be expected to have better surgical outcomes than TURP in terms of the improvement in lower urinary tract symptoms.
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등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Abrams P / 2002 / The standardisation of terminology of lower urinary tract function : report from the Standardisation Sub-committee of the International Continence Society /
Aho TF / 2013 / Holmium laser enucleation of the prostate : a paradigm shift in benign prostatic hyperplasia surgery / Ther Adv Urol 5 : 245 ~ 253
Ahyai SA / 2010 / Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic
Cho MC / 2016 / Impact of detrusor underactivity on surgical outcomes of laser prostatectomy : comparison in serial 12-month follow-up outcomes between potassium-titanyl-phos
Gilling PJ / 1996 / Holmium laser resection of the prostate : preliminary results of a new method for the treatment of benign prostatic hyperplasia / Urology 47 : 48 ~ 51
Aho TF / 2013 / Holmium laser enucleation of the prostate : a paradigm shift in benign prostatic hyperplasia surgery / Ther Adv Urol 5 : 245 ~ 253
Ahyai SA / 2010 / Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic
Cho MC / 2016 / Impact of detrusor underactivity on surgical outcomes of laser prostatectomy : comparison in serial 12-month follow-up outcomes between potassium-titanyl-phos
Gilling PJ / 1996 / Holmium laser resection of the prostate : preliminary results of a new method for the treatment of benign prostatic hyperplasia / Urology 47 : 48 ~ 51
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