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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
- 2020.1
- 수록면
- 358 - 364 (7page)
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Purpose: The aim of this study was to determine the significance of the membranous urethral length (MUL), including the thickness of the urethral sphincter, for recovery from postoperative stress urinary incontinence (SUI) following holmium laser enucleation of the prostate (HoLEP).Methods: We analyzed 78 patients who underwent HoLEP between June 2013 and September 2018, all of whom preoperatively received magnetic resonance imaging. MUL was measured using sagittal T2-weighted fast spin-echo images. The clinical and anatomical factors associated with MUL were evaluated. The recovery time of urinary incontinence was compared between patients with a long MUL (≥14 mm) and a short MUL (<14 mm). SUI included both stress and mixed urinary incontinence. Continence was defined as complete dryness.Results: The median MUL in patients without incontinence at 1 month postoperatively was significantly longer than the MUL in patients with incontinence (15.3 mm vs. 12.7 mm, P<0.001). The continence rates at 1 month after HoLEP in patients with longer MULs and shorter MULs were 80.4% and 30.0%, respectively. The recovery time of urinary incontinence in patients with longer MULs (≥14 mm) was significantly shorter than that in patients with shorter MULs (<14 mm) (log-rank test, P=0.001). After 6 months, the continence rates in patients with longer MULs and shorter MULs were similar (97%). MUL was significantly correlated with the recovery period of urinary incontinence (r=-0.459, P<0.001).Conclusions: MUL was useful for predicting early recovery from urinary incontinence following HoLEP. This study provides evidence that postoperative urinary incontinence following a transurethral procedure for benign prostatic hyperplasia was associated with anatomical factors. A long MUL was associated with better tolerance to urinary sphincter damage by the transurethral procedure.
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참고문헌 (22)
참고문헌 신청
Montorsi F / 2004 / Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center, prospective, randomized trial in patients with obstructive benign prostatic hyperplasia / J Urol 172:1926~1929
남종길 / 2015 / Risk Factors for Transient Urinary Incontinence after Holmium Laser Enucleation of the Prostate / The World Journal of Men's Health 33(2):88~94
Hogewoning CRC / 2017 / Sling surgery for the treatment of urinary incontinence after transurethral resection of the prostate : New data on the virtue male sling and an evaluation of literature / Urology 100:187~192
Serretta V / 2002 / Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s : a contemporary series of 1800interventions / Urology 60:623~627
Tubaro A / 2001 / A prospective study of the safety and efficacy of suprapubic transvesical prostatectomy in patients with benign prostatic hyperplasia / J Urol 116:172~176
남종길 / 2015 / Risk Factors for Transient Urinary Incontinence after Holmium Laser Enucleation of the Prostate / The World Journal of Men's Health 33(2):88~94
Hogewoning CRC / 2017 / Sling surgery for the treatment of urinary incontinence after transurethral resection of the prostate : New data on the virtue male sling and an evaluation of literature / Urology 100:187~192
Serretta V / 2002 / Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s : a contemporary series of 1800interventions / Urology 60:623~627
Tubaro A / 2001 / A prospective study of the safety and efficacy of suprapubic transvesical prostatectomy in patients with benign prostatic hyperplasia / J Urol 116:172~176
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