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Title: HoLEP術後1年目までの尿失禁・性機能の推移
Other Titles: One year follow-up results of urinary incontinence and sexual function after holmium laser enucleation of the prostate
Authors: 白石, 裕介  KAKEN_name
吉村, 耕治  KAKEN_name
井上, 貴博  kyouindb  KAKEN_id
大久保, 和俊  KAKEN_name
渡部, 淳  KAKEN_name
神波, 大己  KAKEN_id
兼松, 明弘  KAKEN_name
中村, 英二郎  kyouindb  KAKEN_id
西山, 博之  KAKEN_name
賀本, 敏行  KAKEN_name
小川, 修  kyouindb  KAKEN_id
Author's alias: Shiraishi, Yusuke
Yoshimura, Koji
Inoue, Takahiro
Okubo, Kazutoshi
Watanabe, Jun
Kamba, Tomomi
Kanematsu, Akihiro
Nakamura, Eijiro
Nishiyama, Hiroyuki
Kamoto, Toshiyuki
Ogawa, Osamu
Keywords: BPH
Urinary incontinence
Sexual function
Issue Date: Sep-2009
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 55
Issue: 9
Start page: 539
End page: 543
Abstract: 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.
Rights: 許諾条件により本文は2010-10-01に公開
PubMed ID: 19827614
Appears in Collections:Vol.55 No.9

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