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タイトル: | HoLEP術後1年目までの尿失禁・性機能の推移 |
その他のタイトル: | One year follow-up results of urinary incontinence and sexual function after holmium laser enucleation of the prostate |
著者: | 白石, 裕介 吉村, 耕治 井上, 貴博 大久保, 和俊 渡部, 淳 神波, 大己 兼松, 明弘 中村, 英二郎 西山, 博之 賀本, 敏行 小川, 修 |
著者名の別形: | Shiraishi, Yusuke Yoshimura, Koji Inoue, Takahiro Okubo, Kazutoshi Watanabe, Jun Kamba, Tomomi Kanematsu, Akihiro Nakamura, Eijiro Nishiyama, Hiroyuki Kamoto, Toshiyuki Ogawa, Osamu |
キーワード: | BPH HoLEP Urinary incontinence Sexual function |
発行日: | Sep-2009 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 55 |
号: | 9 |
開始ページ: | 539 |
終了ページ: | 543 |
抄録: | We performed holmium laser enucleation of the prostate (HoLEP) on 98 patients between February 2005 and February 2007. Seventy five patients with the mean age of 68.9 (ranging 55-84) were assessed preoperatively and followed up at 1, 3 and 12 months postoperatively. Before and after HoLEP, International Prostate Symptom Score (IPSS), quality of life (QOL) index, maximum flow rate (Qmax) and post-void residual (PVR) urine were all improved significantly (P or = 1, incontinence was observed in 71% of patients preoperatively. ICIQ-SF scores were increased from 5.2 preoperatively to 8.0 at 1 month postoperatively, but improved thereafter and had decreased significantly to 2.5 (p < 0.05 compared with baseline) at 12 months. Univariate and multivariate logistic regression analysis revealed date of operation and operation time were significantly (P < 0.05) correlated with postoperative stress urinary incontinence (SUI) at 1 month and enucleated volume was of borderline significance (p = 0.052) at 12 months. In terms of sexual function, mean IIEF5 scores were not significantly changed, but we could classify the scores into five types of response-unchanging (64%), improving (13%), worsening (11%), transient worsening (9%) and unclassified (2%). HoLEP is an effective treatment for BPH. Urinary incontinence improved by 1 year. HoLEP does not appear to affect sexual function, but various clinical courses were observed. |
著作権等: | 許諾条件により本文は2010-10-01に公開 |
URI: | http://hdl.handle.net/2433/85374 |
PubMed ID: | 19827614 |
出現コレクション: | Vol.55 No.9 |
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