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전립선비대증 환자에서 초음파를 이용한 방광 내 전립선 돌출과 방광벽 두께 측정의 유용성

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Author(s)
김병훈손지철박철희김천일Byung Hoon KimJi Choal SohnChoal Hee ParkChun Il Kim
Keimyung Author(s)
Kim, Byung HoonPark, Choal HeeKim, Chun Il
Department
Dept. of Urology (비뇨의학)
Journal Title
대한비뇨기과학회지
Issued Date
2005
Volume
46
Issue
11
Abstract
Purpose: The objectives of this study were to evaluate whether intravesical protrusion of the prostate (IPP) and bladder wall thickness (BWT) are related to prostate volume (PV), prostate-specific antigen (PSA), International Prostate Symptom Score (IPSS) and bladder outlet obstruction (BOO) in patients with symptomatic benign prostatic hyperplasia (BPH).
Materials and Methods: From September 2003 to May 2004, 152 patients with LUTS/BPH were included in this study. Their ages ranged from 46 to 86 years, with an average of 65.0 years. PV (measured by transrectal ultrasonography), serum PSA, IPSS, maximal flow rate (Qmax), post-voiding residual urine volume (PVR), acute urinary retention (AUR) and relationship with irritative or obstructive voiding symptoms were recorded. IPP and BWT were measured using transabdominal ultrasonography. The degree of protrusion was classified as grade I (less than 5mm), II (5 to 10mm) or III (greater than 10mm). The degree of thickness was classified as grade I (less than 5mm) or II (5mm or greater).
Results: The higher IPP and BWT grades showed significant differences with higher PV, serum PSA and IPSS (p<0.05). Especially, higher BWT grade was associated with higher PVR and AUR (p<0.05). There were no statistically significant differences between grades and irritative or obstructive symptoms (p>0.05). Qmax showed no statistical significance between IPP and BWT (p>0.05). There was no correlation between IPP and BWT grades.
Conclusions: IPP and BWT showed a statistically significant relation with PV, serum PSA and IPSS. Especially, higher BWT was associated with higher PVR and AUR. If symptomatic BPH patients receive medical treatment, IPP and BWT measurements appear to be useful predictors of BOO. (Korean J Urol 2005;46:1180-1185)
Alternative Title
The Usefulness of Intravesical Prostatic Protrusion and Bladder Wall Thickness Measurement Using Transabdominal Ultrasound in Patients with Benign Prostatic Hyperplasia
Keimyung Author(s)(Kor)
김병훈
박철희
김천일
Publisher
School of Medicine
Citation
김병훈 et al. (2005). 전립선비대증 환자에서 초음파를 이용한 방광 내 전립선 돌출과 방광벽 두께 측정의 유용성. 대한비뇨기과학회지, 46(11), 1180–1185.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38787
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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