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Alexander Kretschmer,Alexander Buchner,Benedikt Leitl,Markus Grabbert,Anne Sommer,Wael Khoder,Christian Gozzi,Christian G. Stief,Ricarda M. Bauer 대한배뇨장애요실금학회 2016 International Neurourology Journal Vol.20 No.4
Purpose: To evaluate long-term outcomes of AdVance and AdVanceXP male slings in patients with persistent stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP). Methods: A total of 18 consecutive patients received AdVance (n=14) or AdVanceXP (n=4) male sling implantation between 2007 and 2013. Continence was determined by pad use, 24-hour pad testing and validated questionnaires (International Consultation on Incontinence Questionnaire Short Form, ICIQ-SF). Quality of life was evaluated by International Quality of Life (IQoL) score. Patient satisfaction was measured with patient’s global impression of improvement score. Cure was defined as 0–5 g in the 24-hour pad test. Statistical analysis included Fisher exact and Wilcoxon test (P<0.05). Results: Follow-up was available for 15 patients who underwent further analysis. After a median follow-up of 70 months (range, 18–83 months), mean daily pad usage was 1.8±2.1 pads (P=0.015 vs. baseline level). Mean IQoL score was 66.4±31.6 (P=0.050 vs. baseline level), and mean ICIQ-SF score was 9.5±6.6 (P=0.077 vs. baseline level). Based on 24-hour pad testing, mean daily urine loss was 31.2±64.5 g (median, 0 g; range, 0–209 g). Cure rate was 46.7%, and cure-and-improved rate was 60.0%. Assessing predictive features for success, better results were found in patients who needed up to 4 pads preoperatively (P=0.041) as well as for patients ≤71 years at the time of implantation (P=0.041). Conclusions: The findings indicate that AdVance and AdVanceXP implantation can be performed effectively and safely in men suffering from SUI after TURP. However, long-term success rates seem to be lower compared to SUI after radical prostatectomy and patients should be counseled accordingly.
Salwa K. Hassan,Ahmeh A. El-Abssawy,Mamdouh I. Khoder 한국대기환경학회 2018 Asian Journal of Atmospheric Environment (AJAE) Vol.12 No.4
Formaldehyde (HCHO) is a carcinogenic pollutant, has an active role in tropospheric photochemistry, and can be affected by seasonal variations. To our knowledge, this is the first comprehensive study of the effect of seasonal variation on the levels and behaviours of HCHO in the atmosphere of a suburban area (15 May City) in Cairo. Daytime and nighttime measurements of HCHO were performed from March 2014 to February 2015. The highest average daily concentrations of HCHO were found in summer and the lowest in winter. The difference was statistically significant (p≤0.001). Daily average HCHO concentrations in spring, summer, autumn and winter were higher than the corresponding values in many polluted cities in the world. This was true for both weekdays and weekends. HCHO was higher in daytime than nighttime on weekdays and weekends, and the differences in mean concentrations were statistically significant (p ≤0.001), except during the autumn and winter on weekends. Therefore, the contribution of photochemical reactions in the observed levels of HCHO might be greater than that of traffic emissions. This was further proved by the significant positive correlation found between daytime HCHO concentrations and temperature. HCHO concentrations were higher on weekdays than weekends, the differences in mean concentrations were statistically significant (p≤0.001). This may be attributed to higher emission of HCHO from higher traffic intensity during daytime. Significant positive correlations (p≤0.001) were found between daytime and nighttime HCHO concentrations, both on weekdays and weekends suggesting that HCHO comes from the same sources.