전립선비대증 환자에서 치료 후 야간뇨의 변화 = Post treatment change of nocturia in patients with benign prostatic hyperplasia

다국어 초록 (Multilingual Abstract)

Purpose: It seems that nocturia is not improved even after various forms of treatment in benign prostatic
hyperplasia (BPH) patients. We studied the relationship of nocturia with other components of the International
Prostate Symptom Score (IPSS) in BPH patients and also evaluated the changes of nocturia score following
medical or surgical treatments to determine whether the nocturia score behaves differently.
Materials and Methods: Between March 2002 and March 2004, a total of 198 men with BPH were enrolled
in this study. Baseline symptom scores and the change after treatment were analyzed particularly focused on
nocturia score.
Results: On baseline score analysis, the nocturia score correlated with frequency and urgency scores (p=0.01).
Total IPSS score was changed from 21.8±6.5 to 10.1±6.7 after treatment (p＜0.001). The changes of nocturia
score were 2.4±1.2 to 1.8±1.1 in the younger group and 3.1±1.3 to 2.2±1.2 in the older group, 2.9±1.3
to 2.1±1.1 in the surgical treatment group and 2.3±1.2 to 1.7±1.1 in the medical treatment group. The
improvement of nocturia score was minimal after treatment.
Conclusion: It seems that nocturia score behaves differently in the symptom complex of BPH. These facts
should be considered when we consult patients with BPH complaining of nocturia. (J. Korean Continence Society
2005;9:23-27)

참고문헌 (Reference)

1 "정상 남성에서 연령증가에 따른 배뇨형태의 변화" 42 : 1299-1304, 2001

2 "성인 야간빈뇨의 원인과 분류" 42 : 1075-1079, 2001

3 "Urinary symptoms in the community:how bothersome arethey" 74 : 551-5, 1994

4 "The American Urological Associationsymptom index for benign prostatic hyperplasia" 148 : 1549-57, 1992

5 "Symptom-specific quality of life in patients with benignprostatic hyperplasia" 9 : 485-490, 2002

6 "Significance of nocturia in the International ProstateSymptom Score for benign prostatic hyperplasia" 167 : 172-176, 2002

7 "Risk factors for lower urinary tractsymptoms in elderly men" 37 : 413-420, 2000

8 "Prevalence of and risk factors for nocturia:analysis of ahealth screening program" 11 : 282-287, 2004

9 "Nocturia:a disease or normal aging" 84 : 13-15, 1999

10 "Nocturia inadult:etiology and classification" 17 : 467-472, 1998

11 "Nocturia and benign prostatic hyperplasia" 61 : 786-790, 2003

12 "Lower urinary tract symptoms suggestive of benignprostatic obstruction-triumph:design and implementation" 39 : 31-36, 2001

13 "Fillingand voiding sypmtoms in American Urological Associationsymptom index:the value of their distinction in a veteransaffairs randomized trial of medical therapy in men with a clinicaldiagnosis of benign prostatic hyperplasia" 164 : 1559-1564, 2000

14 "Female urinary symptoms:Just how much bother are they" 16 : 431-432, 1998

15 "Epidemiologic survey of lower urianary tractsymptoms in Asia and Australia using the international prostatesymptom socre" 4 : 40-46, 1997

16 "Distinction between symptoms of voiding andfilling in benign prostatic hyperplasia:finding from the healthprofessionals follow-up study" 51 : 422-427, 1998