전립선비대증에서 TUNA의 치험
Transurethral Needle Ablation of BPH
현정현, 정재용, 노충희,
소속 상세정보
현정현 ( )
인제대학교 의과대학 비뇨기과학교실
정재용 ( )
인제대학교 의과대학 비뇨기과학교실
노충희 ( )
인제대학교 의과대학 비뇨기과학교실
KMID : 0358319980390101006
Abstract
결론
1956년 10월부터 1997년 12월까지 본원 비뇨기과에서 전립선비대증으로 진단되어 TUNA
를 시술받은 26명 중 6개월까지 추적관찰이 가능했던 20명을 대상으로 증상점수, 평균 최고
요속, 생활만족도 등을 비교 관찰하여 비교적 만족할 만한 결과를 얻었다.
전립선 조직에서의 TUNA시술의 장기적인 치료효과는 아직 확실히 규명되어 있지 않지
만 TUNA시술과 연관된 합병증이 거의 없고 특히 성기능 장애의 위험이 없는 장점을 지녀
동반질환 등으로 인하여 수술의 위험성이 높은 노령의 환자와 성생활이 가능한 비교적 젊은
환자에 있어서 효과적이고 안전한 수술방법으로 생각된다.
#초록#
Purpose : Transurethral resection of prostate(TURP) is the gold standard for the
treatment of benign prostate hyperplasia(BPH) at the present. But many attempts have
been made to develop minimally invasive method. We studied the efficacy of
transurethral needle ablation(TUNA) of prostate for treatment of BPH.
Materials and Methods : We performed TUNA in 20 BPH patients including 13 patients
with acute urinary retention. Preoperatively all patients were evaluated using urinary
flow rates, International Prostate Symptom Score(1-PSS), Quality of life and cystoscopic
examination. The urinary flow rates, 1-PSS and Quality of life were checked at 1, 3 and
6 months after TUNA in all patients.
Results : The average value of peak flow rate of the patients with urinary retention
were 10㎖/sec, 12㎖/sec and 13㎖/sec at 1, 3 and 6 months follow-up. The average
value of Qmax of the patients without urinary retention were 9㎖/sec preoperatively and
increased to 13㎖/sec, 13㎖/sec and 14㎖/sec at 1, 3 and 6 months postoperatively.
1-PSS of patients with urinary retention improved from average 26 at preoperation to
14, 13, 10 at 1, 3 and 6 months postoperatively. Quality of life of patients with urinary
retention improved from average 5 at preoperation to 2, 2, 2 at 1, 3 and 6 months
postoperatively. The average value of patients without urinary retention improved from
average 26, 5 at preoperation to 14, 11, 11 and 2, 2, 2 at 1, 3 and 6 months follow-up.
No patients complained of erectile dysfunction and retrograde ejaculation postoperatively.
Conclusions : The result of our preliminary study suggest that TUNA can be
considered to be a simple, safe and efficacious procedure for the treatment of BPH
including urinary retention.
키워드
Benign prostate hyperplasia; Transurethral needle ablation;
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