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- 저자 : 유석선 (검색결과 3 건)
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Correlation between Nocturia and Sleep: A Questionnaire Based Analysis
유석선,심봉석,이동현,이향운,윤하나 대한비뇨의학회 2010 Investigative and Clinical Urology Vol.51 No.11
Purpose: This study evaluated the effectiveness and quality of sleep (QoS) in adult patients with nocturnal lower urinary tract symptoms (LUTS) including nocturia and nocturnal polyuria. Materials and Methods: A total of 102 patients with nocturia and daytime LUTS were enrolled in this study. All patients completed a questionnaire that included the International Prostate Symptom Score (IPSS), quality of life score (QoL), overactive bladder questionnaire (OABq), and a sleepiness index. The sleepiness index was measured with the Korean Beck Depression Inventory (K-BDI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Berlin Questionnaire (BQ), and the International Restless Legs Syndrome Study Group (IRLSSG). Statistical analyses included the Student’s t-test and chi-square test. Differences were considered significant at a p-value of less than 0.05. Results: Nocturia during sleep was experienced by 68 (66.7%) out of 102 patients. There was no significant association between the nocturia- and the sleep-related scales, but with multiple regression analysis for sex and age, the K-BDI score (p=0.05), IPSS score (p=0.05), and OABq (p=0.02) were significantly higher in patients who woke up to void during sleep. A total of 57 (55.9%) patients diagnosed with overactive bladder with nocturia had severe daytime sleepiness on the ESS questionnaire (p=0.019) and more urgency symptoms on the IPSS questionnaire (p=0.007). Conclusions: Patients with nocturia had a greater risk of being depressive and felt sleepier during the daytime. LUTS including nocturia and sleep quality closely affected each other. Therefore, clinicians should consider patients’ LUTS and sleep problems or QoS as well to provide more satisfying outcomes.
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하부요로감염 및 과민성방광의 발현과 질 산도의 상관관계
이성주,유석선,홍근식,구진모,홍경표,김영준,전용석,정우식,심봉석,윤하나 이화여자대학교 의과대학 2010 EMJ (Ewha medical journal) Vol.33 No.1
Purpose:Vaginal pH change is known as one of the risk factors for recurrent lower urinary tract infection in female. The objective of this study was to analyze the correlation between lower urinary tract infection & overactive bladder revelation and vaginal pH by age group. Materials and Methods:Subjects were schizophrenic out-patients, who fufilled DSM-IV diagnostic criteria, and their families. Results:This study found a positive correlation between age and vaginal pH(p=0.000). It also found that the contraction of cystitis patients was high in older age group(p=0.035). However, vaginal pH was not a significant factor to the contraction of cystitis(p=0.258). In older age group, the number of overactive bladder patients was higher than that of younger age group(p=0.05), while vaginal pH was not a significant factor to the contraction of overactive bladder(p=0.376). Conclusion:Diseases that cause lower urinary tract symptom such as overactive bladder and recurrent cystitis increase in proportion to age. Vaginal pH also increases in proportion to age. However, vaginal pH is not a significant factor to the contraction of lower urinary tract symptom when the age is revised.
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윤현석,유재영,전계민,구진모,유석선,정우식 대한남성과학회 2010 The World Journal of Men's Health Vol.28 No.1
A 43-year-old man presented painless protruding mass on left side of penile shaft only during erection. 1 year ago he had a dorsal penile neurectomy for the treatment of premature ejaculation at local clinic. A protruding cavernousal aneurysm about 2 cm in diameter was developed 6 months after surgery and confirmed on penile duplex ultrasonography after PDE5 inhibitor ingestion with visual sexual stimulation. We have observed the lesion every month and found there was slight enlargement for the last 3 months without any other symptoms. We performed cavernosoplasty under the genereal anesthesia. There was a round cavernosal aneurysm on the left side of penile mid-shaft about 4cm in diameter after artificial erection with intracavernosal saline injection. We prevented cavernosal protrusion by covering the aneurismal surface with bovine pericardium patch (Supple Peri-GuardⓇ). There was no side effect for 6 months postoperatively. This is an unusual type of complication of dorsal penile neurectomy.
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