Current Status of Transurethral Prostatectomy: A Korean Multicenter Study
장동규, 유창희, 오철영, 김세중, 김선일, 김천일, 김홍섭, 박종연, 성도환, 송윤섭, 양원재, 조인래, 조성용, 전상현, 임형준, 조진선,
소속 상세정보
장동규 ( Jang Dong-Gyu )
Hallym University College of Medicine Department of Urology
유창희 ( Yoo Chang-Hee )
Hallym University College of Medicine Department of Urology
오철영 ( Oh Cheol-Young )
Hallym University College of Medicine Department of Urology
김세중 ( Kim Se-Joong )
Ajou University School of Medicine Department of Urology
김선일 ( Kim Sun-Il )
Ajou University School of Medicine Department of Urology
김천일 ( Kim Chun-Il )
Keimyung University School of Medicine Department of Urology
김홍섭 ( Kim Hong-Sup )
Konkuk University School of Medicine Department of Urology
박종연 ( Park Jong-Yeon )
University of Ulsan College of Medicine Department of Urology
성도환 ( Seong Do-Hwan )
Inha University College of Medicine Department of Urology
송윤섭 ( Song Yun-Seob )
Soonchunhyang University College of Medicine Department of Urology
양원재 ( Yang Won-Jae )
Soonchunhyang University College of Medicine Department of Urology
조인래 ( Cho In-Rae )
Inje University College of Medicine Department of Urology
조성용 ( Cho Sung-Yong )
Inje University College of Medicine Department of Urology
전상현 ( Cheon Sang-Hyeon )
University of Ulsan College of Medicine Department of Urology
임형준 ( Im Hyoung-June )
Hallym University College of Medicine Department of Occupational & Environmental Medicine
조진선 ( Cho Jin-Seon )
Hallym University College of Medicine Department of Urology
KMID : 0358320110520060406
Abstract
Purpose: We aimed to verify the current status of transurethral resection of the prostate (TURP) in Korea.
Materials and Methods: The medical records of 1,341 men who underwent TURP in 9 Korean medical centers between 2004 and 2008 were reviewed. The patients were divided into two groups according to time periods: 2004-2005 (group 1) and 2006-2008 (group 2). To verify differences in the two patient groups, age, prostate volume, indications for TURP, preoperative International Prostate Symptom Score (IPSS), and resected tissue weight were evaluated.
Results: The mean age of the patients was 71.2 years and the mean IPSS was 22.7. The patients’ characteristics were not significantly different between the two groups. The annual cases of TURP increased over the study period. The proportion of lower urinary tract symptoms (LUTS) as an indication for TURP increased up to 58.3% in group 2 compared with 51.6% in group 1 (p=0.019). However, the proportion of patients who presented with acute urinary retention decreased from 35.5% to 30.3% with marginal statistical significance (p=0.051). Other indications such as hematuria, bladder stone, recurrent urinary tract infection, and hydronephrosis were not significantly different between the groups. The mean resected weights of the prostate were similar (17.5 g in group 1 and 18.3 g in group 2, respectively; p>0.05).
Conclusions: TURP has been steadily performed in patients with benign prostatic hyperplasia and it is expected to remain constant. LUTS was the most common indication for TURP in recent years.
키워드
Prostatic hyperplasia; Transurethral resection of prostate
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