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- 저자 : 방우진(Woo Jin Bang) (검색결과 2 건)
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근치적 전립선절제술 후 요실금 발생 환자에서의 항콜린제 처방에 대한 비뇨기과 의사의 실태조사
방우진(Woo Jin Bang),주관중(Kwan Joong Joo),조진선(Jin Seon Cho),전성수(Seong Soo Jeon),백성현(Sung Hyun Paick),성도환(Do Hwan Seong),김홍섭(Hong Sup Kim),함원식(Won Sik Ham),홍성준(Sung Joon Hong) 대한비뇨기종양학회 2012 대한비뇨기종양학회지 Vol.10 No.2
Purpose: We surveyed the actual use of anticholinergics for urinary incontinence after radical prostatectomy among the practicing urologists. Materials and Methods: 142 urologist members of the Korean Urological Oncology Society were given surveys through conventional mail and e-mail with 76 members returning responses. Answering for the number of radical prostatectomy performed each year, 21 urologists responded more than 50 cases, 37 responded 10 to 50 cases, 11 responded 5 to 10 cases, and 7 said 1 to 5 cases. Concerning primary approach, retropubic approach surgery, laparoscopic surgery, robotic surgery and perineal approach surgery each had 39, 19, 17, and 1, respectively. Results: Among 76 participants, 64 (84%) acknowledged prescribing anticholinergics after prostatectomy depending on symptoms. For post-op indication of anticholinergics, 43 members responded significant incontinence symptoms, while 19 answered frequent urination. Concerning the initiation of medication, 52 answered when symptoms arise after catheter removal. For duration of anticholinergics, less than 30 days, 31-60 days, 61-90 days, more than 90 days each received 8, 17, 24, and 15 votes from participants, respectively. Finally, 57 members thought the use of anticholinergics were beneficial in treating urinary incontinence after radical prostatectomy. Conclusions: Over 80% of survey participants acknowledged prescribing anticholinergics to urinary incontinence patients according to symptoms, and 75% concurred with their usefulness. But, there is no specified protocol of anticholinergics use for urinary incontinence after radical prostatectomy.
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김종근(Jong Keun Kim),방우진(Woo Jin Bang),오철영(Cheol Young Oh),유창희(Changhee Yoo),조진선(Jin Seon Cho) 대한비뇨기종양학회 2013 대한비뇨기종양학회지 Vol.11 No.2
Purpose: This study aimed to improve prostate biopsy compliance by analyzing factors that influenced the acceptance of prostate biopsies. Materials and Methods: When a prostate biopsy was accepted by men who had prostate-specific antigen (PSA) ≥2.5 ng/ml or with abnormal digital rectal examination. The questionnaire consisted of 9 questions about the subjects’ demographic characteristics, 15 questions for assessing their knowledge of prostate and 8 questions about the factors influencing their acceptance of a prostate biopsy. Results: The subjects of this study were 188 patents who accepted the prostate biopsy and completed the questionnaire in 2011. The mean age was 66 years. The distribution of factors influencing the patient acceptance of the prostate biopsy was 66.0 percent for ‘the thought that the biopsy would help me maintain my health,’ 63.4 percent for ‘a doctor’s advice for the biopsy,’ and 48.2 percent for ‘the level of prostate-specific antigen tested.’ The greater influence on the patient acceptance of the prostate biopsy was associated with the lower income levels of subjects when they responded with ‘uncomfortableness with urinating’ or ‘my family’s or acquaintance’s recommendation for the biopsy’ and married patients showed a higher acceptability of the biopsy when there was any ‘previous experience with medical examinations due to different disease.’ Conclusions: The patient acceptance of biopsies can be influenced by patients’ demographic characteristics, and therefore when a prostate biopsy is explained to patients, their demographic characteristics should be taken into consideration.
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