계명대학교 의학도서관 Repository

전립선 이행대 용적: 전립선비대증 환자에서 급성요폐의 예견지표

Metadata Downloads
Author(s)
장혁수박철희김천일Hyuk Soo ChangChoal Hee ParkChun Il Kim
Keimyung Author(s)
Chang, Hyuk SooPark, Choal HeeKim, Chun Il
Department
Dept. of Urology (비뇨의학)
Journal Title
대한비뇨기과학회지
Issued Date
2005
Volume
46
Issue
3
Abstract
Purpose: The objective of this study was to investigate the efficacy of the International Prostate Symptom Score (IPSS) and various parameters obtained from transrectal ultrasonography (TRUS) as predictors of the onset of acute urinary retention in patients with symptomatic benign prostatic hyperplasia (BPH).
Materials and Methods: From January 1997 to December 2003, 1,765 patients with symptomatic BPH were enrolled in this study, but not all patients had had previous BPH treatment. Of the 1,765 patients, 323 presented with acute urinary retention. A TRUS examination was performed to calculate the total prostate volume (TPV), transition zone volume (TZV), transition zone index (TZI=TZ volume/TP volume) and elongation ratio (ER=maximal anteroposterior diameter/transverse diameter). Statistical comparisons of the retention (n=323) and non-retention groups (n=1,442) were performed using the Mann-Whitney test, and receiver operating characteristic (ROC) curves of the independent risk factor were obtained to compare the usefulness of various indices.
Results: There were significant differences in the age, TPV, TZV, TZI and ER between the retention and non-retention groups, but no significant differences in the IPSS. The most effective cutoff value was a 15ml TZV. The area under the curves were 0.887 (TZV), 0.884 (TZI), 0.857 (TPV) and 0.736 (ER).
Conclusions: The TZV is the most useful predictor of the onset of acute urinary retention in patients with symptomatic BPH, with the TZI can also be a useful predictor. The TZV and TZI may be useful parameters when deciding the method of treatment. (Korean J Urol 2005;46:259-263)
Alternative Title
Transitional Zone Volume: A Predictor of Acute Urinary Retention in Patients with Benign Prostatic Hyperplasia
Keimyung Author(s)(Kor)
장혁수
박철희
김천일
Publisher
School of Medicine
Citation
장혁수 et al. (2005). 전립선 이행대 용적: 전립선비대증 환자에서 급성요폐의 예견지표. 대한비뇨기과학회지, 46(3), 259–263.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38783
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.