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タイトル: | HoLEP 術後の排尿に関する経時的観察 |
その他のタイトル: | Observational Study on Urinary Status Following HoLEP |
著者: | 河野, 有香 松本, 敬優 増田, 憲彦 白石, 裕介 根来, 宏光 宇都宮, 紀明 常森, 寛行 大久保, 和俊 岡田, 卓也 清川, 岳彦 六車, 光英 川喜田, 睦司 |
著者名の別形: | Kono, Yuka Matsumoto, Keiyu Masuda, Norihiko Shiraishi, Yusuke Negoro, Hiromitsu Utsunomiya, Noriaki Tsunemori, Hiroyuki Okubo, Kazutoshi Okada, Takuya Segawa, Takehiko Muguruma, Koei Kawakita, Mutsushi |
キーワード: | HoLEP Urinary status |
発行日: | Feb-2014 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 60 |
号: | 2 |
開始ページ: | 57 |
終了ページ: | 60 |
抄録: | We assessed the safety, and postoperative urinary status of holmium laser enucleation of the prostate (HoLEP) for the treatment of benign prostatic hyperplasia (BPH). Of the initial 117 patients who underwent HoLEP from November 2004 to March 2011, 49 were followed up for two years or longer. These 49 patients were evaluated once preoperatively, and at the 3rd, 6th, 12th, 24th, 48th, and 60th month postoperatively using International Prostate Symptom Scores (I-PSS) total and sub-score, quality of life score (QOL), maximum flow rate (Qmax), and post-voiding residual urine volume (PVR). The median estimated transition zone and enucleated volume were 45. 1 and 47. 9 g, respectively. Evaluation scores showed significant improvements throughout the follow-up. I-PSS total scores improved from 21 points (before surgery) to 6 points(12 monthsafter surgery), QOL scoresimproved from 5 points to 2 points, Qmax improved from 6.8 ml/s to 17.4 ml/s, and PVR improved from 101 ml to 26 ml, respectively. Transient urinary incontinence was noted in 14 patients (28.5%). One case showed a Clavien grade 3 complication of postoperative bleeding. No blood transfusion or re-surgery for BPH was required. In conclusion, HoLEP proved to be a safe and effective therapy, with potential to become a new gold standard for treating BPH. |
著作権等: | 許諾条件により本文は2015-03-01に公開 |
URI: | http://hdl.handle.net/2433/185877 |
PubMed ID: | 24755814 |
出現コレクション: | Vol. 60 No. 2 |
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