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논문 기본 정보

자료유형
학술저널
저자정보
Ichiro Tsuboi (Shimane University Faculty of Medicine) Yuki Maruyama (Okayama University Graduate School of Medicine) Takuya Sadahira (Okayama University Graduate School of Medicine) Nobuyoshi Ando (Kagawa Rosai Hospital) Yasuhiro Nishiyama (Kochi Health Sciences Center) Motoo Araki (Okayama University Graduate School of Medicine) Takushi Kurashige (Tottori Municipal Hospital) Takaharu Ichikawa (National Hospital Organization Okayama Medical Center) Ryoji Arata (Kochi Health Sciences Center) Noriaki Ono (Kochi Health Sciences Center) Toyohiko Watanabe (Okayama University Graduate School of Medicine) Syunji Hayata (Tottori Municipal Hospital) Hiroaki Shiina (Shimane University Faculty of Medicine) Yasutomo Nasu (Okayama University Graduate School of Medicine)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.62 No.3
발행연도
2021.1
수록면
298 - 304 (7page)

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Purpose: To evaluate the efficacy of holmium laser enucleation of the prostate (HoLEP) in patients with a small prostate volume (≤30 mL). Materials and Methods: We retrospectively evaluated 1,135 patients who underwent HoLEP at two institutions between July 2007 and March 2020. Patients who were not evaluated for the International Prostate Symptom Score (IPSS) before or after HoLEP were excluded. We divided patients into two groups according to estimated prostate volume (ePV): ≤30 (n=198) and >30 mL (n=539). The patient characteristics, IPSS, peak urinary flow rate (Qmax), postvoid residual urine volume (PVR), and other data were compared before and after surgery in each group and between the two groups. Multivariate analysis was performed to identify the factors associated with the efficacy of HoLEP in the group with ePV ≤30 mL. Results: A total of 737 patients were included in this retrospective study. ePV (23.4 mL vs. 50 mL; p<0.001) and PVR differed significantly between the two groups. The IPSS, IPSS-quality of life, PVR, and Qmax significantly improved after HoLEP in both groups. Improvements in the IPSS, IPSS-quality of life, Qmax, and PVR were greater in the >30 mL group (p<0.001), whereas operation time and morcellation time were significantly shorter in the ≤30 mL group. In the multivariate analysis, age <70 years was independently associated with improvement by HoLEP. Conclusions: HoLEP is an effective treatment for patients with a small prostate, even though the extent of improvement after HoLEP was greater in those with a larger prostate.
#Enucleation #Holmium #Laser therapy #Prostatic hyperplasia #Transurethral resection of prostate

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참고문헌 (21)

참고문헌 신청
Chughtai B / 2016 / Benign prostatic hyperplasia / Nat Rev Dis Primers 2:16031 google schola Roehrborn CG / 2005 / Benign prostatic hyperplasia: an overview / Rev Urol 7(Suppl 9):S3~S14 google schola Romero-Otero J / 2020 / Critical analysis of a multicentric experience with holmium laser enucleation of the prostate for benign prostatic hyperplasia : outcomes and complications of 10 years of routine clinical practice / BJU Int 126:177~182 google schola Gravas S / 2018 / EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO) google schola Magistro G / 2020 / A matchedpair analysis of patients with medium-sized prostates(50 cc)treated for male LUTS with HoLEP or TURP / Low Urin Tract Symptoms 12:117~122 google schola

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