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전립선비대증환자에서 경요도전립선절제술 및 경요도전립선절개술의 임상경험
박임찬 ( Im Chan Park ),최용 ( Yong Cui ),박종관 ( Jong Kwan Park ) 전북대학교 의과학연구소 2004 全北醫大論文集 Vol.28 No.2
Purpose: To evaluate the effectiveness and complications of the combination of transurethral resection of the prostate (TURP) and incision of the prostate (TUTP) for benign prostate hyperplasia (BPH). Materials and Methods: Between Jan. 2001 and Jun. 2003, the pathological studies of 155 men with BPH followed by TURP and TUIP were available for a retrospective review. Patients were evaluated in terms of the change in symptom severity, maximal flow rate and sexual function in addition to operating time, length of hospital stay, duration of catheter positioning and the rate of bladder neck contracture using Student`s paired t-test. Results: The preoperative peak flow rate was changed from 8.66±3.96ml/sec, to 14.30±4.98ml/sec, 14.15±4.50ml/sec and 15.76/sec, at postoperative 1st, 3rd and 6th months, respectively. International prostate symptom score (IPSS) was decreased from 22.59±5.77, to 13.14±5.26, 13.50±5.59 and 11.29±5.59, at postoperative 1st, 3rd and 6th months, respectively. Quality of life (QOL) score was decreased from 4.14±1.17, to 2.56±1.20, 2.47±0.99 and 1.85±0.56, at postoperative 1st, 3rd and 6th month, respectively. Improvement in IPSS, maximal flow rate and quality of life score were statistically improved (p<0.05), but erectile dysfunction rates were not statistically different between preoperative and postoperative states (p>0.05). Bladder neck contracture was not found. Conclusions: The combination of transurethral resection and bladder neck incision in patients with BPH appears to provide satisfactory clinical outcome.