복강경하 근치적 전립선적출술이 요실금 및 하부요로증상의 변화에 미치는 영향
Impact of Laparoscopic Radical Prostatectomy on Urinary Incontinence and Lower Urinary Tract Symptoms
윤병일, 황태곤, 김준철,
소속 상세정보
윤병일 ( Yoon Byung-Il )
가톨릭대학교 의과대학 비뇨기과학교실
황태곤 ( Hwang Tae-Kon )
가톨릭대학교 의과대학 비뇨기과학교실
김준철 ( Kim Joon-Chul )
가톨릭대학교 의과대학 비뇨기과학교실
KMID : 0358320080490020134
Abstract
Purpose: The definition of continence after radical prostatectomy has not been established. We examined the continence rate and changes in voiding and storage symptoms after laparoscopic radical prostatectomy(LRP).
Materials and Methods: Fifty-seven patients were enrolled and followed for more than 12 months after a LRP. Postoperative evaluation of urinary incontinence was performed by interview, and was classified as completely dry, intermittent(occasional dribbling only), using only 1 pad/day, using more than 1 pad/day, and no control. Pre- and post-operative International Prostate Symptom Scores(IPSS) were compared(Total, each criterion, and quality of life, voiding, and storage symptom subscores).
Results: Sixty seven percent of patients were completely dry and 17% of patients were classified as intermittent. Those using 1 pad/day, more than 1 pad/day, or no control accounted for 2%, 9%, and 5%, respectively. Pre- and post-operative total IPSS and quality of life scores were not different, but urgency and nocturia scores increased(p＜0.05). The voiding subscore decreased and the storage subscore increased after LRP(p＜0.05), suggesting aggravation of storage symptoms after LRP.
Conclusions: We need to determine which definition of continence is most clinically useful. It is important to assess lower urinary tract symptoms, especially storage symptoms, as well as urinary incontinence after LRP. (Korean J Urol 2008;49:134-138)
키워드
Prostatectomy;Urinary incontinence;Urinary tract;Symptoms
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