전립선비대증 환자에서 만성전립선염증이 급성요폐에 미치는 영향
The Effect of Chronic Prostatic Inflammation on Acute Urinary Retention in the Setting of Benign Prostatic Hyperplasia
차우헌, 이경섭, 김기호, 서영진, 장석용,
소속 상세정보
차우헌 ( Cha Woo-Heon )
동국대학교 의과대학 비뇨기과학교실
이경섭 ( Lee Kyung-Seop )
동국대학교 의과대학 비뇨기과학교실
김기호 ( Kim Ki-Ho )
동국대학교 의과대학 비뇨기과학교실
서영진 ( Seo Young-Jin )
동국대학교 의과대학 비뇨기과학교실
장석용 ( Jang Suk-Yong )
동국대학교 의과대학 병리학교실
KMID : 0358320080490110997
Abstract
Purpose: The aim of this study was to evaluate the effect of chronic prostatic inflammation on acute urinary retention(AUR) in the setting of benign prostatic hyperplasia(BPH).
Materials and Methods: A total of 132 male patients admitted to our clinic with BPH-related AUR or BPH-related lower urinary tract symptoms (LUTS) were included in this study. These patients were divided into two groups. Group 1 consisted of 58 patients with AUR who underwent transurethral resection of the prostate(TURP), and group 2 consisted of 74 patients with LUTS who underwent TURP. Prostatic infarction, morphology, inflammation were examined. Prostatic infarction was evaluated according to the presence or absence of infarction. Prostatic morphology was assessed according to three categories: mainly glandular hyperplasia, stromal hyperplasia, or a mixture of glandular and stromal hyperplasia. Prostatic inflammation was assessed according to three categories: mild, moderate, and severe.
Results: Prostatic infarction was observed in 8.6% of the patients in group 1 and in 8.1% of the patients in group 2(p=1.000). Glandular, stromal, and mixed hyperplasia were detected in 36.2%, 5.2%, and 58.6% of the patients in group 1 and in 35.1%, 6.8%, and 58.1% of the patients in group 2, respectively(p=0.222). Mild, moderate, and severe chronic prostatic inflammation were observed in 39.7%, 31.0%, and 29.3% of the patients in group 1 and in 73.0%, 20.3%, and 6.7% of the patients in group 2, respectively(p＜0.001).
Conclusions: Chronic prostatic inflammation may play an important role on AUR developing secondary to BPH.
키워드
Urinary retention;Prostate;Infarction;Morphology;Inflammation
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