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전립선비대증 환자에서 발견되는 전립선결석과 하부요로증상과의 관계

Relations between Prostatic Calculi and Lower Urinary Tract Symptoms of Benign Prostatic Hyperplasia

정규인|이병희|이배영|조수연|김현우|김상훈
대한배뇨장애요실금학회 (Korean Continence Society)|2009.06|International Neurourology Journal|제13권 제1호|pp. 30-36

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키워드

Lower urinary tract symptomsBenign Prostatic HyperplasiaProstatic calculi

초록

Purpose: Recently as ultrasonography is increasingly used to evaluate lower urinary tract symptoms (LUTS) in the elderly patients, prostatic calculi are more often revealed; however, the mechanism of formation of prostatic calculi is not clearly known, and their impacts on LUTS are controversial. We investigated whether the type and location of prostatic calculi might influence LUTS in benign prostatic hyperplasia (BPH) patients. Materials and Methods: From July 2003 to January 2008, 1,437 consecutive patients underwent transrectal ultrasonography. Of these patients 383 with clinical BPH were retrospectively studied. According to the type (type A: a discrete small reflection; type B: a large mass of multireflection; type M: mixed) and location (periurethral vs. non-periurethral) of prostatic calculi, the serum prostate-specific antigen (PSA) levels, volume of prostate, maximum urinary flow rate and residual urine volume, and International Prostate Symptom Score (IPSS) were compared. Results: Prostatic calcification was found in 70% (268/383), and type A in 38%, type B in 46% and type M in 16%. There was no significant difference according to the presence or types of prostatic calcification, comparing serum PSA levels, volume of prostate, maximum urinary flow rate and residual urine volume. And there was no significant correlation between the types of prostatic calcificaton and each item of IPSS. Periurethral and non-periurethral prostatic calcification failed to show the significant difference in each items of IPSS. Conclusions: There is no significant difference in LUTS according to presence, types, or locations of prostatic calculi in clinical BPH patients. (J Korean Continence Soc 2009;13:30-36)

Abstract

Purpose: Recently as ultrasonography is increasingly used to evaluate lower urinary tract symptoms (LUTS) in the elderly patients, prostatic calculi are more often revealed; however, the mechanism of formation of prostatic calculi is not clearly known, and their impacts on LUTS are controversial. We investigated whether the type and location of prostatic calculi might influence LUTS in benign prostatic hyperplasia (BPH) patients. Materials and Methods: From July 2003 to January 2008, 1,437 consecutive patients underwent transrectal ultrasonography. Of these patients 383 with clinical BPH were retrospectively studied. According to the type (type A: a discrete small reflection; type B: a large mass of multireflection; type M: mixed) and location (periurethral vs. non-periurethral) of prostatic calculi, the serum prostate-specific antigen (PSA) levels, volume of prostate, maximum urinary flow rate and residual urine volume, and International Prostate Symptom Score (IPSS) were compared. Results: Prostatic calcification was found in 70% (268/383), and type A in 38%, type B in 46% and type M in 16%. There was no significant difference according to the presence or types of prostatic calcification, comparing serum PSA levels, volume of prostate, maximum urinary flow rate and residual urine volume. And there was no significant correlation between the types of prostatic calcificaton and each item of IPSS. Periurethral and non-periurethral prostatic calcification failed to show the significant difference in each items of IPSS. Conclusions: There is no significant difference in LUTS according to presence, types, or locations of prostatic calculi in clinical BPH patients. (J Korean Continence Soc 2009;13:30-36)

참고문헌 (22)

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관련 논문AI추천

Clinical Significance of Periurethral Calcification According to the Location in Men With Lower Urinary Tract Symptoms and a Small Prostate Volume권종규, 이종수, 이주용, 조강수, 한장희대한배뇨장애요실금학회 · International Neurourology Journal2017 · 제21권 제3호전립선비대증 환자에서 항콜린제 추가 투여 시 순응도에 영향을 미치는 요인김상훈, 김현우, 정규인, 조수연대한배뇨장애요실금학회 · International Neurourology Journal2009 · 제13권 제1호전립선비대증/하부요로증상 환자에서 1일 배뇨일지의 신뢰도박승철, 이재환, 임정식, 홍혜민대한배뇨장애요실금학회 · International Neurourology Journal2009 · 제13권 제1호전립선비대증 환자에서 병리학적 전립선염이 수술 결과에 미치는 영향송재만, 이효석, 임동현, 정현철, 천제우대한배뇨장애요실금학회 · International Neurourology Journal2008 · 제12권 제1호전립선비대증 환자의 전립선의 조직학적 염증 정도가 하부요로증상에 미치는 영향박영요, 심봉석, 이동현, 이성주, 한운섭대한요로생식기감염학회 · Urogenital Tract Infection2011 · 제6권 제1호Clinical Implications of Residual Urine in Korean Benign Prostatic Hyperplasia (BPH) Patients: A Prognostic Factor for BPH-Related Clinical Events천준, 강성구, 강재일, 고영휘, 김제종, 안홍재, 이정구, 장훈아, 정승민, 채지윤, Hyung Woo Kim대한배뇨장애요실금학회 · International Neurourology Journal2010 · 제14권 제4호

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