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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
- 2016.12
- 수록면
- 335 - 341 (7page)
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초록· 키워드
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Purpose: To evaluate long-term outcomes of AdVance and AdVanceXP male slings in patients with persistent stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP).
Methods: A total of 18 consecutive patients received AdVance (n=14) or AdVanceXP (n=4) male sling implantation between 2007 and 2013. Continence was determined by pad use, 24-hour pad testing and validated questionnaires (International Consultation on Incontinence Questionnaire Short Form, ICIQ-SF). Quality of life was evaluated by International Quality of Life (IQoL) score. Patient satisfaction was measured with patient’s global impression of improvement score. Cure was defined as 0?5 g in the 24-hour pad test. Statistical analysis included Fisher exact and Wilcoxon test (P<0.05).
Results: Follow-up was available for 15 patients who underwent further analysis. After a median follow-up of 70 months (range, 18?83 months), mean daily pad usage was 1.8±2.1 pads (P=0.015 vs. baseline level). Mean IQoL score was 66.4±31.6 (P=0.050 vs. baseline level), and mean ICIQ-SF score was 9.5±6.6 (P=0.077 vs. baseline level). Based on 24-hour pad testing, mean daily urine loss was 31.2±64.5 g (median, 0 g; range, 0?209 g). Cure rate was 46.7%, and cure-and-improved rate was 60.0%. Assessing predictive features for success, better results were found in patients who needed up to 4 pads preoperatively (P=0.041) as well as for patients ≤71 years at the time of implantation (P=0.041).
Conclusions: The findings indicate that AdVance and AdVanceXP implantation can be performed effectively and safely in men suffering from SUI after TURP. However, long-term success rates seem to be lower compared to SUI after radical prostatectomy and patients should be counseled accordingly.
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참고문헌 (25)
참고문헌 신청
Lucas MG / 2012 / EAU guidelines on surgical treatment of urinary incontinence / Eur Urol 62:1118~1129
Kumar A / 2009 / Artificial urinary sphincter versus male sling for post-prostatectomy incontinence--what do patients choose? / J Urol 181:1231~1235
Kretschmer A / 2016 / Evaluation and management of postprostatectomy incontinence: a systematic review of current literature / Eur Urol Focus 2:245~259
Bauer RM / 2009 / Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year / Eur Urol 56:928~933
Bauer RM / 2011 / Mid-term results for the retroluminar transobturator sling suspension for stress urinary incontinence after prostatectomy / BJU Int 108:94~98
Kumar A / 2009 / Artificial urinary sphincter versus male sling for post-prostatectomy incontinence--what do patients choose? / J Urol 181:1231~1235
Kretschmer A / 2016 / Evaluation and management of postprostatectomy incontinence: a systematic review of current literature / Eur Urol Focus 2:245~259
Bauer RM / 2009 / Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year / Eur Urol 56:928~933
Bauer RM / 2011 / Mid-term results for the retroluminar transobturator sling suspension for stress urinary incontinence after prostatectomy / BJU Int 108:94~98
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