배뇨근과활동 및 수축력장애를 동반한 전립선비대증 환자에서 경요도전립선절제술의 치료 효과
The Efficacy of Transurethral Resection of Prostate on the Patients with Benign Prostatic Hyperplasia and Detrusor Hyperactivity with Impaired Contractility
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Abstract
Purpose: Detrusor hyperactivity with impaired contractility (DHIC) can be found in many elderly patients with benign prostatic hyperplasia (BPH). It is hard to expect the efficacy of transurethral resection of prostate (TURP) on such patients. Therefore, we retrospectively estimated the effect of TURP on BPH patients with DHIC. Materials and Methods: Eighteen male patients with BPH and DHIC were underwent TURP. Through urodynamic studies, DHIC was identified. Findings of bladder outlet obstruction were evaluated with TRUS and/or diagnostic cystoscopy in all patients. They were requested to go through uroflowmetry and international prostate symptom score (IPSS), before and after TURP. The subjective satisfaction scale was measured after TURP. Results: Total IPSS (from 20.6 to 12.5), obstructive symptom score (from 11.5 to 6.0), and maximal flow rate (from 6.0 ml/sec to 14.6 ml/sec) of the patients were improved significantly (p＜0.05) after TURP. Storage symptom score (from 9.0 to 6.3) got better, but the improvement was not statistically significant (p＞0.05). Only 2 (12%) of the patients were unsatisfied with the outcomes of TURP. Conclusion: We suggest that TURP can be used as a good therapeutic option for selected patients with BPH accompanied with DHIC. (J. Korean Continence Society 2005;9:135-138)
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