전립선비대증 환자에서 경요도전립선절제술 후요도협착의 발생에 영향을 미치는 요인
Predictive Factors Affecting Urethral Stricture Developmentafter Transurethral Resection of the Prostate in Patientswith Benign Prostatic Hyperplasia
1
조회
0
다운로드
0
인용
0
참고문헌
초록
Abstract
Purpose: To evaluate possible factors affecting urethral stricture development after TURP in patients with BPH. Materials and Methods: We reviewed retrospectively medical records of patients who underwent TURP for 6 years. All operations were performed by 2 experienced doctors who have minimum 200 practices. Patients were classified into 2 groups. Group A included patients with urethral stricture required periodic urethral dilation or urethrotomy. Group B included those without urethral stricture development after TURP. We analyzed all possible factors such as resection time, prostate volume, resection volume, resectoscope size, preoperative catheterization duration due to AUR, postoperative catheterization duration, preoperative pyuria, prostate needle biopsy performed preoperatively and PSA level, age and co-morbid systemic diseases. Results: 595 patients underwent TURP between 2000 and 2005. 76 of them were excluded because of preexisting urethral stricture or secondary TURP. 110 were categorized into group A and 409 into group B. There was no statistical difference between group A and B with respect to age, preoperative catheterization duration in patients with AUR, postoperative catheterization duration, prostate volume, resection volume, preoperative PSA level, preoperative pyuria, preoperative biopsy history, resectoscope size (22F vs 24F) and anesthesia method (general vs spinal), respectively. However, there is significant difference between group A and B in comparison of resection time (58.5±21.6 min vs 48.5±23.2 min, p=0.02). Conclusion: Our data demonstrate that the shortening of resection time is the most important single factor to decrease urethral stricture formation after TURP in patients with BPH. (J. Korean Continence Society 2007;11:9-13)
참고문헌 (16)
- Kim HH, "Theeffects and complications of transurethral resection for benignprostatic hyperplasia: results of long-term follow-up", 37, pp.268~280 (1996)
- Varkarakis J, "Long-term morbidityand mortality of transurethral prostatectomy: a 10-year followup", 58, pp.248~251 (2004)
- Nielsen KK, "Nordling J. Urethral stricture following transurethralprostatectomy. Urology 1990"
- Chilton CP, "Blandy JP.A critical evaluation of the results of transurethral resectionof the prostate. Br J Urol 1978", pp.542~6
- Scarpone P, "Tati G.Urethral stricture following transurethral resection of the prostate.The role of local anesthetics. Br J Urol 1993", pp.930~2
- Emmett JL, "Utz DC.Preliminary internal urethrotomy in 1 036 cases to preventurethral stricture following transurethral resection", pp.829~35
- Holtgrewe HL, "Valk WL. Late results of transurethral prostatectomy.J Urol 1964", pp.51~5
- Lentz HC, "Melchoir J. Urethralstrictures following transurethral prostatectomy", pp.223~1977
- "Warres HL. Urethral stricture following transurethral resectionof the prostate. J Urol 1958", pp.989~93
- "Bissada NK. Transurethral resection of prostate via perinealurethrotomy", pp.39~41
- Nielsen KK, "Ohrt-Nissen A.Blood loss in transurethral prostatectomy", pp.287~92
- Hwang SU, "Park JS. Clinical observation of transurethralprostatectomy. Korean J Urol 1993", pp.458~64
- Holtgrewe HL, "immediate and postoperative complications.a cooperative study of 13 participating institutionsevaluating 3", pp.885 999~19892002 1003
- Singh M, "Blandy JP. The pathology of urethral stricture. JUrol 1976", pp.673~6
- Falkiner FR, "GillespieWA. Antimicrobial agents for the prevention of urinary tractinfection in transurethral surgery. J Urol 1983", pp.766~8
- Hart AJ, "Fowler JW. Incidence of urethral stricture aftertransurethral resection of prostate. Effects of urinary infection", pp.588~91