지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 116 - 121 (6page)
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초록· 키워드
오류제보하기
The longevity of the world’s population is increasing, and among male patients, complaints of lower urinary tract symptoms (LUTS) are growing. Testing to diagnose LUTS and to differentiate between the various causes should be quick, easy, cheap, specific, not too bothersome for the patient, and noninvasive or minimally so. Urodynamic evaluation is the gold standard for diagnosing bladder outlet obstruction (BOO) but presents some inconveniences such as embarrassment, pain, and dysuria; furthermore,19% of cases experience urinary retention, macroscopic hematuria, or urinary tract infection. A greater number of resources in the diagnostic armamentarium could increase the opportunity for selecting less invasive tests. A number of groups have risen to this challenge and have formulated and developed ideas and technologies to improve noninvasive methods to diagnosis BOO. These techniques start with flowmetry, an increase in the interest of ultrasound, and finally the performance of urodynamic evaluation without a urethral catheter. Flowmetry is not sufficient for confirming a diagnosis of BOO. Ultrasound of the prostate and the bladder can help to assess BOO noninvasively in all men and can be useful for evaluating the value of BOO at assessment and during treatment of benign prostatic hyperplasia patients in the future. The great advantages of noninvasive urodynamics are as follows: minimal discomfort, minimal risk of urinary tract infection, and low cost. This method can be repeated many times, permitting the evaluation of obstruction during clinical treatment. A urethral connector should be used to diagnose BOO, in evaluation for surgery, and in screening for treatment. In the future, noninvasive urodynamics can be used to identify patients with BOO to initiate early medical treatment and evaluate the results. This approach permits the possibility of performing surgery before detrusor damage occurs.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
D’Ancona CA / 2008 / New method for minimally invasive urodynamic assessment in men with lower urinary tract symptoms / Urology 71 : 75 ~ 78
European Association of Urology / / Guidelines on management of male lower urinary tract symptoms (LUTS), incl. Benign prostatic obstruction (BPO)
Gomes CM / 2004 / Voiding dysfunction and urodynamic abnormalities in elderly patients / Rev Hosp Clin Fac Med Sao Paulo 59 : 206 ~ 215
Gommer ED / 1999 / Validity of a non-invasive determination of the isovolumetric bladder pressure during voiding in men with LUTS / Neurourol Urodyn 18 : 477 ~ 486
Huang T / 2012 / Predictive value of resistive index, detrusor wall thickness and ultrasound estimated bladder weight regarding the outcome after transurethral prostatectomy
European Association of Urology / / Guidelines on management of male lower urinary tract symptoms (LUTS), incl. Benign prostatic obstruction (BPO)
Gomes CM / 2004 / Voiding dysfunction and urodynamic abnormalities in elderly patients / Rev Hosp Clin Fac Med Sao Paulo 59 : 206 ~ 215
Gommer ED / 1999 / Validity of a non-invasive determination of the isovolumetric bladder pressure during voiding in men with LUTS / Neurourol Urodyn 18 : 477 ~ 486
Huang T / 2012 / Predictive value of resistive index, detrusor wall thickness and ultrasound estimated bladder weight regarding the outcome after transurethral prostatectomy
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