인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
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.
초록·키워드
Abstract Background Diabetics have significantly greater BPH severity of symptoms when compared with the healthy controls. This study aims to evaluate the outcome of transurethral resection of the prostate in uncontrolled diabetic patients and identify the predicting factors of success. Methods A cohort study of 40 male patients with uncontrolled diabetes mellitus (DM) presented with lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia (BPH) based on history, physical findings and relevant investigations and indicated for transurethral resection of the prostate (TURP). Patients with neurological diseases, stroke or history of endoscopic or surgical treatment of BPH were excluded. Bi-polar TURP with spinal anesthesia was done for all patients by the same team. All patients were pre- and postoperatively evaluated by IPSS, quality of life (Qol), postvoid residual urine (PVR), urine, uroflowmetry and pressure flow urodynamic study. Scheduled follow-up visits (2 weeks, 1, 3 and 12 months) were documented to assess the outcome postoperatively. Results 40 male patients with mean age 66.1 ± 7.4 years old, mean HbA1C 8.18 ± 1.2 and mean prostate size 69.3 ± 8.9cc were included in the study. Twenty of them presented with repeated urine retention despite of using alpha blocker. There was significant improvement as regard maximum flow (Qmax), residual urine (PVR), Quality of life score (Qol), IPSS and bladder contractility index (BCI) postoperatively. Correlation of these parameters improvement and preoperative factors showed significant correlation between this improvement and preoperative BCI, age, duration of diabetes, HbA1c, PVR, infected urine culture, preoperative IPSS and bladder capacity ( P values ≤ 0.0001). No significant correlation was found between the outcome of TURP, bladder capacity and prostate volume. Conclusions TURP is safe and effective modality of treatment for uncontrolled diabetic patients with BPH. Patients’ age, duration of diabetes, HbA1c, preoperative BCI and IPSS were good predictors of TURP success in such cases.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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