전립선비대증 환자에서 경요도전립선절제술 후요도협착의 발생에 영향을 미치는 요인
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 p...
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Veröffentlicht in: | International neurourology journal 2007, 11(1), , pp.9-13 |
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Zusammenfassung: | 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) KCI Citation Count: 0 |
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ISSN: | 2093-4777 2093-6931 |