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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 218 - 226 (9page)
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초록· 키워드
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Purpose: To evaluate the efficacy and safety of holmium laser enucleation of the prostate (HoLEP) for extremely large prostates.
Materials and Methods: Patients undergoing HoLEP between July 2008 and December 2013 from the Seoul National University Hospital Benign Prostatic Hyperplasia Database Registry were retrospectively analyzed. The patients were divided into three groups according to their total prostate volume (TPV): group A (TPV<100 mL), group B (100 mL≤TPV<200 mL), and group C (TPV≥200 mL); the clinical data of the three groups were compared. All patients were followed up 2 weeks, 3 months, and 6 months after surgery.
Results: A total of 502 patients (group A, 426; group B, 70; group C, 6) with a mean age of 69.0 (standard deviation, ±7.3) years were included in our analysis. The mean prostate volume and prostate-specific antigen level were 68.7±36.9 mL and 4.15±4.24 ng/mL, respectively. The enucleation and morcellation times were longer in group C (p<0.001), and the enucleation efficacy was higher in this group (p<0.001, R2=0.399). Moreover, the mean postoperative catheterization and hospitalization periods were significantly longer in group C (p=0.004 and p=0.011, respectively). However, there were no significant differences between the groups in any other postoperative events, including recatheterization, reoperation, urinary tract infection, clot retention, and bladder neck contracture (p range, 0.516–0.913). One patient in group C experienced recurrence of the urethral stricture.
Conclusions: HoLEP in patients with an extremely large prostate can be performed efficiently and safely.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Elzayat EA / 2005 / Holmium laser enucleation of the prostate: a size-independent new "gold standard" / Urology 66(5 Suppl):108~113
Kuntz RM / 2004 / Does perioperative outcome of transurethral holmium laser enucleation of the prostate depend on prostate size? / J Endourol 18:183~188
Tan AH / 2002 / Holmium laser prostatectomy: current techniques / Urology 60:152~156
Shah HN / 2007 / Prospective evaluation of the learning curve for holmium laser enucleation of the prostate / J Urol 177:1468~1474
Seki N / 2003 / Holmium laser enucleation for prostatic adenoma: analysis of learning curve over the course of 70 consecutive cases / J Urol 170:1847~1850
Kuntz RM / 2004 / Does perioperative outcome of transurethral holmium laser enucleation of the prostate depend on prostate size? / J Endourol 18:183~188
Tan AH / 2002 / Holmium laser prostatectomy: current techniques / Urology 60:152~156
Shah HN / 2007 / Prospective evaluation of the learning curve for holmium laser enucleation of the prostate / J Urol 177:1468~1474
Seki N / 2003 / Holmium laser enucleation for prostatic adenoma: analysis of learning curve over the course of 70 consecutive cases / J Urol 170:1847~1850
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